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KENDRA MAE BLACK-SMITH MD
NPI 1790866044
Pediatrics - Neonatal-Perinatal Medicine in Coeur D Alene, ID

Active since October 17, 2006PECOS Enrolled
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-5185(208) 625-6892 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kendra Mae Black-smith Md NPPES

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

KENDRA MAE BLACK-SMITH MD (NPI 1790866044) is an individual neonatal-perinatal medicine provider in Coeur D Alene, Idaho, licensed in Idaho (M14495) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790866044
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameKENDRA MAE BLACK-SMITHCredential: MD
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5059 · Fax (208) 625-5731
Phone(208) 625-5185
Fax(208) 625-6892
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 3, 2019
✔ NPI 1790866044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in ID · M14495✔ Licensed in WA · MD00039197
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814
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Other Names 1

Other Name (5)Kendra M Smith

Other Identifiers 2

Medicaid8269235WA
Other272030Internal Id-motor Vehicle Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Mae Black-smith Md 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.

CHRISTINA CRABTREE M.D.
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
SCOTT GEYER RD
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. MATTHEW KUNZ DO
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
MRS. AMANDA K KAMPF RN, BSN
Student in an Organized Health Care Education/Training Program
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. PATRICK WILLIAM MAGAJNA MD
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
JOSHUA LEPPERT CRNA
Nurse Anesthetist, Certified Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 765-8585
MARC OLAV GRANRUD
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6900
KIMBERLEY S HALL DIETICIAN
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 666-2000

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 Kendra Black-smith's NPI number?

The NPI number for Kendra Black-smith is 1790866044. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Kendra M Smith.

Where is Kendra Black-smith located?

Kendra Black-smith practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5185.

What is Kendra Black-smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kendra Black-smith enrolled in Medicare?

Yes. Kendra Black-smith is registered in the Medicare PECOS enrollment system.

What insurance does Kendra Black-smith accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kendra Black-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 Kendra Black-smith was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.