NPI age
19 years
Enumerated 2006-10-17
● Active
Type 1 · Individual
Kendra Mae Black-Smith, MD
Black-Smith is 1 of 8 pediatrics providers in Coeur D Alene and 1 of 34 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-04-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 34 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 58% — 41% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4800 Sand Point Way Ne
Seattle, WA 981053901
Specialties
-
Pediatrics PrimaryA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 272030 | INTERNAL ID-MOTOR VEHICLE ID |
| 05 (WA) | 8269235 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
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