MARY JANE SMITH ARNP
NPI 1417961053
Nurse Practitioner in Louisville, KY

Q: What is Mary Smith's NPI number?

The NPI number for Mary Smith is 1417961053. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Mary Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Smith was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 28, 2006

2360 STONY BROOK DR, LOUISVILLE, KY 40220(502) 446-5462(502) 394-3670 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2020, Jan 25, 2019, Dec 14, 2018 (3 updates tracked since 2018).

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About Mary Jane Smith Arnp NPPES

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

MARY JANE SMITH ARNP (NPI 1417961053) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3003746) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417961053

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY JANE SMITHCredential: ARNP

Location Address2360 STONY BROOK DRLouisville, KY 40220-4018

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 446-5462

Fax(502) 394-3670

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateMarch 11, 20203 updates tracked since enumeration

NPPES CertifiedMarch 11, 2020

✔ NPI 1417961053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KY · 3003746✔ Licensed in KY · 3746P

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3003746 (KY)

2360 STONY BROOK DR, Louisville, KY 40220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

MRS. JENNIFER J HELTON ARNP

Nurse Practitioner (Family)