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MS. DESTINEE SMITH
NPI 1467301861
Licensed Practical Nurse in Louisville, KY

Active since January 27, 2026PECOS Enrolled
5400 DANNYBOY LN, LOUISVILLE, KY 40214(502) 216-1071 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Destinee Smith NPPES

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

MS. DESTINEE SMITH (NPI 1467301861) is an individual licensed practical nurse in Louisville, Kentucky, licensed in Kentucky (2053284) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467301861
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. DESTINEE SMITH
Location Address5400 DANNYBOY LNLouisville, KY 40214-4214
Mailing Address5400 Dannyboy LnLouisville, KY 40214-4214 · (502) 216-1071
Phone(502) 216-1071
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1467301861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in KY · 2053284
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5400 DANNYBOY LN, Louisville, KY 40214
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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)

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

PECOS PAC ID6204303720
PECOS Enrollment IDI20260424001001
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

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

DESTINATION CARE LLC
In Home Supportive Care
5400 DANNYBOY LN
LOUISVILLE, KY 40214
Jefferson County (502) 216-1071

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 Destinee Smith's NPI number?

The NPI number for Destinee Smith is 1467301861. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Destinee Smith located?

Destinee Smith practices at 5400 Dannyboy Ln, Louisville, KY 40214. The listed phone number is (502) 216-1071.

What is Destinee Smith's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Is Destinee Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Destinee Smith was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.