Leah Foster Smith joined Metrolina Nephrology Associates, based in Charlotte, North Carolina, in 2001 as a family nurse practitioner. She was promoted in 2007 to director of advanced practitioners and now supervises the largest group of nephrology APs in the United States with a total of 31 nephrology advanced practitioners. Leah's areas of expertise and practice are CKD, ESRD, and complex HTN. Leah is also AP practice clinical consultant with Clear Edge Medical Management, assisting multiple nephrology practices in the utilization of nephrology APs, AP-led CKD clinics, focused dialysis rounding models, and AP leadership. Leah serves as practice lead in the legacy Charlotte ESCO with Fresenius Health Partner. She is active in ANNA and is currently involved at the chapter level serving as Greater Charlotte Chapter Health Policy Representative with previous local/state roles of president, president elect, and secretary of the Greater Charlotte Chapter. She also serves ANNA nationally on the ANNA National Nominations Committee and ANNA workgroup on Medicare ESRD PPS/QIP Proposed Rule. She was a member of the conference planning committee, served on the advancing American kidney health workgroup, and served as editor and author in the 7th edition of the ANNA Core Curriculum.