KAITLIN MARIE SMILEY NP NPI 1790443463

NPI Information

  • NPI: 1790443463
  • Provider Name: KAITLIN MARIE SMILEY, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 43 WILLOW POND WAY STE 200
    PENFIELD, NY
    ZIP 14526
  • Phone: (585) 377-5420

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NPI Details

Kaitlin Marie Smiley, NP is a family nurse practitioner in Penfield, NY with 4 years of experience. Kaitlin Marie Smiley, NP NPI is 1790443463. 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:

43 WILLOW POND WAY STE 200
PENFIELD, NY
ZIP 14526-638
Phone: (585) 377-5420

The NPI 1790443463 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 11/30/2021 and was last updated on 11/30/2021.

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 PractitionerFamilyF348509-01NEW YORKYes

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

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