KELLY HANN SMITH CPNP NPI 1407313729

NPI Information

  • NPI: 1407313729
  • Provider Name: KELLY HANN SMITH, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4109 WAKE FOREST RD STE 300
    RALEIGH, NC
    ZIP 27609
  • Phone: (919) 250-3478

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NPI Details

Kelly Hann Smith, CPNP is a pediatrics nurse practitioner in Raleigh, NC. Kelly Hann Smith, CPNP NPI is 1407313729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4109 WAKE FOREST RD STE 300
RALEIGH, NC
ZIP 27609-508
Phone: (919) 250-3478
Fax: (919) 250-6272

The NPI 1407313729 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 8/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine5018023NORTH CAROLINANo
2363LP0200XNurse PractitionerPediatrics0024177340VIRGINIANo
3363LP0200XNurse PractitionerPediatrics5018023NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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