MS. KIMBERLY MOSER SMITH A.P.N NPI 1780651505

NPI Information

  • NPI: 1780651505
  • Provider Name: MS. KIMBERLY MOSER SMITH, A.P.N
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1526 E MAIN STREE
    MELBOURNE MEDICAL CLINIC
    MELBOURNE, AR
    ZIP 72556
  • Phone: (870) 368-4344

Map and Directions

Get Directions

NPI Details

MS. Kimberly Moser Smith, A.P.N is a family nurse practitioner in Melbourne, AR with 22 years of experience. MS. Kimberly Moser Smith, A.P.N NPI is 1780651505. 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:

1526 E MAIN STREE
MELBOURNE MEDICAL CLINIC
MELBOURNE, AR
ZIP 72556-736
Phone: (870) 368-4344
Fax: (870) 368-3051

The NPI 1780651505 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 3/1/2006 and was last updated on 1/19/2016.

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
1363LF0000XNurse PractitionerFamilyA01757ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00130335OTHERARKANSASRAILROAD MEDICARE
2152621758MEDICAIDARKANSAS
3Q12978MEDICARE UPINARKANSAS
45X838MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI