DR. KYLE MICHAEL SMITH (NPI# 1902059157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902059157 |
| Entity Type | Individual |
| Full Name | DR. KYLE MICHAEL SMITH |
| Credential | MD |
| Practice Address |
100 Mario Capecchi Dr Salt Lake City UT 84113-1103 |
| Mailing Address |
Po Box 413021 Salt Lake City UT 84141-3021 |
| Practice Telephone | 8016625592 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2013-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
7154798-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176794 | Kyle Smith | Behavior Technician | 146 Highland Dr, Deltona, FL 32738-2262 | 2019-10-28 |
| 1346803764 | Kyle Smith | Social Worker | 71 Westcott Rd Unit B, Danielson, CT 06239-2929 | 2019-04-22 |
| 1649623968 | Kyle Bryant Smith | Specialist/Technologist, Other | 825 9th Ave Apt 2, Fairbanks, AK 99701-4408 | 2016-07-21 |
| 1093069437 | Kyle D Smith | Chiropractor | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 | 2012-11-07 |
| 1386906360 | Kyle Smith | Orthotic Fitter | 2401 Executive Plaza Rd, Suite 1, Pensacola, FL 32504-8277 | 2012-06-14 |
| 1528330750 | Kyle Smith | Contractor | 8225 S Oglesby, Chicago, IL 60617 | 2012-02-03 |
| 1659683324 | Kyle Alan Smith | Dentist | 2941 Piedmont Road N.e. Suite E, Atlanta, GA 30305 | 2010-07-09 |
| 1144554650 | Kyle Smith | Acupuncturist | 17040 W. Greenfield Ave, Suite #6, Brookfield, WI 53005-6899 | 2009-09-30 |
| 1437198108 | Kyle A Smith | Physical Therapist | 270 Penn Way, Los Gatos, CA 95032-2618 | 2006-06-06 |
| 1184663726 | Kyle G Smith | Psychiatry & Neurology | 888 W Big Beaver Rd, 1450, Troy, MI 48084-4736 | 2006-06-06 |
| Street Address |
100 MARIO CAPECCHI DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111810 | Andrew Gerald Smith | Legal Medicine | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2005-08-11 |
| 1235535485 | Ihc Health Services Inc | Clinic/Center | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-17 |
| 1508262833 | Aimee Brierley | Occupational Therapist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-13 |
| 1801290986 | Jeffery Zobell | Pharmacist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-10-17 |
| 1336542778 | Bevan Jensen | Pharmacist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-09-30 |
| 1699183152 | Kristina Rogers | Dentist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-07-29 |
| 1548677297 | Stephanie Eva Wisniewski | Speech-Language Pathologist | 100 Mario Capecchi Dr, Primary Children's Rehab, Salt Lake City, UT 84113-1103 | 2014-07-15 |
| 1184044877 | Adam Wesley Dell | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-04-21 |
| 1225456718 | Bhanu Muniyappa | Pediatrics | 100 Mario Capecchi Dr, Pediatrics Residency Program, Salt Lake City, UT 84113-1103 | 2014-04-01 |
| 1265850952 | Kristina Gulliver | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134643596 | Ladders | Psychiatry & Neurology | 1399 S 700 E Ste 10, Salt Lake City, UT 84105-2167 | 2017-07-27 |
| 1487779955 | Rachel Anne Weir | Psychiatry & Neurology | 650 Komas Dr Ste 208, Salt Lake City, UT 84108-1241 | 2007-03-20 |
| 1437297272 | Traci L. David | Psychiatry & Neurology | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2007-02-02 |
| 1942268446 | Melissa P Lopez-larson | Psychiatry & Neurology | 383 S Colorow Dr, University of Utah, Salt Lake City, UT 84108-1201 | 2006-05-03 |
| 1598736217 | Beth Ann Gasparo | Psychiatry & Neurology | 1850 S 2500 E, Salt Lake City, UT 84108-3242 | 2006-01-30 |
| 1366963381 | Spencer Augustin | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-06-29 |
| 1396277125 | Ryan Cephas | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-03-30 |
| 1316478290 | Jeffrey Pedersen | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-03-23 |
| 1205378320 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-11-07 |
| 1174073746 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-10-07 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.