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KELLY RAE SMITH DNP APRN LLC
NPI 1902407414
Nurse Practitioner - Family in Prospect, KY

Active since November 03, 2020
13402 CREEKVIEW RD, PROSPECT, KY 40059(502) 396-0237(833) 449-5152 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2025, May 9, 2024, Nov 3, 2020 (3 updates tracked since 2020).

About Kelly Rae Smith Dnp Aprn Llc NPPES

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

KELLY RAE SMITH DNP APRN LLC (NPI 1902407414) is a healthcare organization registered as a family in Prospect, Kentucky and active in the NPI registry since November 2020. The organization lists Kelly Rae Graham, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1902407414
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKELLY RAE SMITH DNP APRN LLC
Location Address13402 CREEKVIEW RDProspect, KY 40059-9028
Mailing AddressPo Box 37270Belfast, ME 04915-1214 · (502) 396-0237 · Fax (833) 449-5152
Phone(502) 396-0237
Fax(833) 449-5152
Organization SubpartNo
Authorized OfficialKelly Rae GrahamNp/owner · (502) 396-0237
Enumeration DateNovember 3, 2020
Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1902407414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
13402 CREEKVIEW RD, Prospect, KY 40059
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Other Names 1

Other NameKelly Rae Smith

Other Identifiers 1

Medicaid7100951070KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

SMITH MEDICAL AND PALLIATIVE CARE SERVICES, PLLC
General Practice
13402 CREEKVIEW RD
PROSPECT, KY 40059
Jefferson County (502) 619-4131
CHRISTOPHER MATTHEW SMITH M.D.
General Practice
13402 CREEKVIEW RD
PROSPECT, KY 40059
Jefferson County (502) 619-4131

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 Kelly Rae Smith Dnp Aprn LLC's NPI number?

The NPI number for Kelly Rae Smith Dnp Aprn LLC is 1902407414. It was assigned to this organization in the NPPES registry on November 3, 2020. The provider is also known as Kelly Rae Smith.

Where is Kelly Rae Smith Dnp Aprn LLC located?

Kelly Rae Smith Dnp Aprn LLC is located at 13402 Creekview Rd, Prospect, KY 40059. The listed phone number is (502) 396-0237.

What is Kelly Rae Smith Dnp Aprn LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Kelly Rae Smith Dnp Aprn LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Kelly Rae Smith Dnp Aprn LLC 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 Kelly Rae Smith Dnp Aprn LLC was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.