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

Jimmy Reece Smith

Individual provider Registered Nurse · NPI 1629701032

Jimmy Reece Smith is a Nurse Practitioner in Bowling Green, Kentucky. Qualified in 2022, 4 years ago. Practices with Lake Substance Abuse Solutions LLC, a 20-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

384 Mount Everest Way
Bowling Green, KY 42104-8569
Phone: (615) 719-0458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1143 Fairway St Ste 103, Bowling Green, KY 42103-2452 — (407) 347-4536

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4026120 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1099382 (KY)

Record details

NPI number1629701032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 4, 2022
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address1143 Fairway St Ste 103, Bowling Green, KY 42103-2452

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lake Substance Abuse Solutions Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bowling Green