1. Home
  2. Directory
  3. Kansas
  4. Lenexa
  5. Dietitian Registered
  6. NPI Profile

SIDNEY SMITH
NPI 1962046508
Dietitian, Registered - Nutrition, Obesity and Weight Management in Lenexa, KS

Active since November 06, 2019
23401 PRAIRIE STAR PKWY STE B-300, LENEXA, KS 66227(913) 677-6319 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2023, Aug 23, 2023, Nov 19, 2019 and 1 more (4 updates tracked since 2019).

About Sidney Smith NPPES

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

SIDNEY SMITH (NPI 1962046508) is an individual nutrition, obesity and weight management provider in Lenexa, Kansas, licensed in Kansas (2160) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1962046508
Entity TypeIndividualFemale
Primary Taxonomy133VN1201X
Provider Legal NameSIDNEY SMITH
Location Address23401 PRAIRIE STAR PKWY STE B-300Lenexa, KS 66227-7268
Mailing Address23401 Prairie Star Pkwy Ste 300Lenexa, KS 66227-7246 · (913) 677-6319
Phone(913) 677-6319
Sole ProprietorYes
Enumeration DateNovember 6, 2019
Last NPPES UpdateSeptember 4, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2023
✔ NPI 1962046508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
Licenses✔ Licensed in KS · 2160✔ Licensed in MO · 2018006451
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
23401 PRAIRIE STAR PKWY STE B-300, Lenexa, KS 66227
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

Medicare enrollment records show Sidney Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kc Bariatric, LLC
Same address
Surgery
23401 PRAIRIE STAR PARKWAY, SUITE B-300
Lenexa, KS 66227
  • Reassigned Medicare billing, Kansas enrollment
  • 17 clinicians in this Medicare group
NPI 1992945307 (913) 677-6319

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

ANDREW MACKAY WILLIAMSON
Physician Assistant
23401 PRAIRIE STAR PKWY STE B-300
LENEXA, KS 66227
Johnson County (913) 677-6319
PAULA E VOGT ARNP
Nurse Practitioner (Acute Care)
23401 PRAIRIE STAR PKWY STE B-300
LENEXA, KS 66227
Johnson County (913) 676-2000
SHELLY NICOLE BUSE PT
Physical Therapist
23401 PRAIRIE STAR PKWY STE B-300
LENEXA, KS 66227
Johnson County (913) 677-6319
JASON DOUGLAS PA-C
Physician Assistant
23401 PRAIRIE STAR PKWY STE B-300
LENEXA, KS 66227
Johnson County (913) 677-6319
MRS. SELENA MARIE DE LEON APRN FNP-C
Nurse Practitioner
23401 PRAIRIE STAR PKWY STE B-300
LENEXA, KS 66227
Johnson County (913) 677-6319
AMANDA RAE MERINO DNP
Nurse Practitioner (Family)
23401 PRAIRIE STAR PKWY STE B-300
LENEXA, KS 66227
Johnson County (913) 677-6319
ELIZABETH ANNE KELLY FNP-C
Nurse Practitioner (Family)
23401 PRAIRIE STAR PKWY STE B-300
LENEXA, KS 66227
Johnson County (913) 677-6319
MRS. KELLI LEIGH HOLLOWAY APRN
Nurse Practitioner (Family)
23401 PRAIRIE STAR PKWY STE B-300
LENEXA, KS 66227
Johnson County (913) 374-4319

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 Sidney Smith's NPI number?

The NPI number for Sidney Smith is 1962046508. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Sidney Smith located?

Sidney Smith practices at 23401 Prairie Star Pkwy Ste B-300, Lenexa, KS 66227. The listed phone number is (913) 677-6319.

What is Sidney Smith's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Sidney Smith enrolled in Medicare?

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

Which organization bills Medicare for Sidney Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sidney Smith reassigns Medicare benefits to Kc Bariatric, LLC (Lenexa, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sidney Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sidney Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Sidney 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 Sidney Smith was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.