Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Smith

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1588030688

Jackie Smith is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2015, 11 years ago. Practices with Tbd Acquisition LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

215 Central Ave Ste 100
Louisville, KY 40208-1450
Phone: (502) 588-8720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3009478 (KY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 3009478 (KY)

Record details

NPI number1588030688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2015
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tbd Acquisition Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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