KEENAN SMITH PMHNP-BC
NPI 1003519372
Nurse Practitioner - Psychiatric/Mental Health in Bellevue, WA

Active since March 24, 2023
2105 112TH AVE NE STE 201, BELLEVUE, WA 98004(425) 968-5948 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2023, Jun 2, 2023, May 20, 2023 and 1 more (4 updates tracked since 2023).

About Keenan Smith Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEENAN SMITH PMHNP-BC (NPI 1003519372) is an individual psychiatric/mental health provider in Bellevue, Washington, licensed in Washington (AP61423786) and active in the NPI registry since March 2023. He maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1003519372
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKEENAN SMITHCredential: PMHNP-BC
Location Address2105 112TH AVE NE STE 201Bellevue, WA 98004-2945
Mailing AddressPo Box 1097Birmingham, MI 48012-1097 · (248) 838-9586
Sole ProprietorNo
Enumeration DateMarch 24, 2023
Last NPPES UpdateJuly 13, 20234 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
NPI 1003519372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in WA · AP61423786 Licensed in KS · 53-82167-102 Licensed in MI · 4704370314
2105 112TH AVE NE STE 201, Bellevue, WA 98004

Secondary Practice Location 1

Location 1100 N Howard St Ste RSpokane, WA 99201-0508 · Phone (206) 249-7715

Accepted Insurance

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
2105 112TH AVE NE STE 201
BELLEVUE, WA 98004
Clinic/Center (Mental Health (Including Community Mental Health Center))
2105 112TH AVE NE STE 201
BELLEVUE, WA 98004
Nurse Practitioner (Psychiatric/Mental Health)
2105 112TH AVE NE STE 201
BELLEVUE, WA 98004
Clinic/Center (Adult Mental Health)
2105 112TH AVE NE STE 201
BELLEVUE, WA 98004
Nurse Practitioner (Psychiatric/Mental Health)
2105 112TH AVE NE STE 201
BELLEVUE, WA 98004
Nurse Practitioner (Psychiatric/Mental Health)
2105 112TH AVE NE STE 201
BELLEVUE, WA 98004
Counselor (Mental Health)
2105 112TH AVE NE STE 201
BELLEVUE, WA 98004
Psychiatry & Neurology (Psychiatry)
2105 112TH AVE NE STE 201
BELLEVUE, WA 98004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keenan Smith's NPI number?

The NPI number for Keenan Smith is 1003519372. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Keenan Smith located?

Keenan Smith practices at 2105 112th Ave NE Ste 201, Bellevue, WA 98004. The listed phone number is (425) 968-5948.

What is Keenan Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Keenan Smith accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Keenan Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keenan Smith was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.