Kaitlyn Smith
Kaitlyn Smith is a Nurse Practitioner in Randolph, New Jersey. Qualified in 2014, 12 years ago. Practices with Id Care LLC, a 119-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 12
- Licensed in
- NJ
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
765 Route 10 E Ste 201Randolph, NJ 07869-1925
Phone: (973) 479-1128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 26NJ00498600 (NJ) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 26NJ00498600 (NJ) |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 26NJ00498600 (NJ) |
Record details
| NPI number | 1083034946 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 18, 2014 |
| Last updated in NPPES | March 25, 2015 |
| Mailing address | 105 Raider Blvd, Suite 101, Hillsborough, NJ 08844-1528 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Id Care Llc — 119 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Randolph
-
Nathalie Beredo, APN
765 Route 10 E Ste 201, Randolph, NJ 07869-1925 · (973) 989-0068
-
Lauren Pampinella, APN
765 Route 10 E Ste 201, Randolph, NJ 07869-1925 · (973) 989-0068
-
Shruti Pandya
765 Route 10 E Ste 201, Randolph, NJ 07869-1925 · (973) 989-0068
-
MS. Francine Schuster, ANP-BC
765 Route 10 E Ste 201, Randolph, NJ 07869-1925 · (973) 989-0068