Healthcare Provider Details

I. General information

NPI: 1326935164
Provider Name (Legal Business Name): KAPRINA SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5507 JAYNES ST
OMAHA NE
68104-1759
US

IV. Provider business mailing address

15104 GREENE AVE
OMAHA NE
68138-3331
US

V. Phone/Fax

Practice location:
  • Phone: 402-779-9995
  • Fax:
Mailing address:
  • Phone: 402-779-9995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: