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LYDIA SMITH DO
NPI 1124879077
Student in an Organized Health Care Education/Training Program in Kennewick, WA

Active since March 28, 2024PECOS Enrolled
521 N YOUNG ST, KENNEWICK, WA 99336(509) 221-5965 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lydia Smith Do NPPES

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

LYDIA SMITH DO (NPI 1124879077) is an individual student in an organized health care education/training program in Kennewick, Washington and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124879077
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLYDIA SMITHCredential: DO
Location Address521 N YOUNG STKennewick, WA 99336-7806
Mailing Address521 N Young StKennewick, WA 99336-7806
Phone(509) 221-5965
Sole ProprietorYes
Enumeration DateMarch 28, 2024
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1124879077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
521 N YOUNG ST, Kennewick, WA 99336
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Smith Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MATTHEW KLATT
Student in an Organized Health Care Education/Training Program
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 221-5965
HIGH DESERT SURGERY CENTER, L.L.C.
Clinic/Center (Ambulatory Surgical)
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 586-2828
HETAL THAKOR DO
Student in an Organized Health Care Education/Training Program
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 221-5965
JENNIFER FOLLWELL DO
Family Medicine
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 221-5222
KMJ ANESTHESIA PLLC
Nurse Anesthetist, Certified Registered
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 736-2770
ELLEN T ANG M.D.
Specialist
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 585-5222
TABITHA C LUSTIG NP
Nurse Practitioner (Family)
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (702) 896-2595
DR. JANHVI RANA MD
Student in an Organized Health Care Education/Training Program
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 221-5222

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 Lydia Smith's NPI number?

The NPI number for Lydia Smith is 1124879077. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Lydia Smith located?

Lydia Smith practices at 521 N Young St, Kennewick, WA 99336. The listed phone number is (509) 221-5965.

What is Lydia Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lydia Smith enrolled in Medicare?

Yes. Lydia Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lydia Smith was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.