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

Mrs. Gladys Kabamba Smith, FAMILYNURSEPRACTIT

Individual provider Family Nurse Practitioner · NPI 1154045821

Mrs. Gladys Kabamba Smith, FAMILYNURSEPRACTIT is a Nurse Practitioner in Anderson, Missouri. Qualified in 2020, 6 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2022

Practice location Address checks out

104 E Main St
Anderson, MO 64831-4103
Phone: (417) 845-6984
Fax: (417) 845-6976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Lancelot St, Lowell, AR 72745-9598 — (479) 466-1553

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F08210825 (AR)

Record details

NPI number1154045821
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNURSEPRACTIT
Sole proprietorYes
NPI enumeratedSeptember 27, 2022
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sgoh Acquisition Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Anderson