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

Kenneth R Smith, NP

Individual provider Nurse Practitioner · NPI 1083275630

Kenneth R Smith, NP is a Nurse Practitioner in Tucson, Arizona. Qualified in 2019, 7 years ago. Practices with New York University, a 5,884-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, New Mexico, Texas and Utah.

Years since qualifying
7
Licensed in
AZ, NM, TX, UT
In the registry since
2019
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6200 N La Cholla Blvd
Tucson, AZ 85741-3529
Phone: (520) 742-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1900 Pine St, Abilene, TX 79601-2432 — (800) 655-2656
  • 449 Apple Blossom Dr, Abilene, TX 79602-6009 — (801) 471-8870

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 306577 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 70622 (NM)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 9037845-8900 (UT)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP141978 (TX)

Record details

NPI number1083275630
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address449 Apple Blossom Dr, Abilene, TX 79602-6009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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