KATELYN MARIE SMITH


Address: 100 Woods Rd, Valhalla, NY 10595
Phone: 9144937000

KATELYN MARIE SMITH (NPI# 1518435122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518435122
Entity Type Individual
Full Name KATELYN MARIE SMITH
Credential PA-S
Practice Address 100 Woods Rd
Valhalla
NY 10595
Mailing Address 19 Bradhurst Ave Ste 3100n
Hawthorne
NY 10532-2140
Practice Telephone 9144937000
Mailing Telephone 9149099018
Mailing Fax Number 9149099028
Enumeration Date 2018-11-13
Last Update Date 2019-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
024181 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS LICENSE 024181 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
Health Professions 1223 Central Michigan University, Mount Pleasant, MI 488590001 9897742337 9897742433

Other Providers KATELYN SMITH

NPI Name Taxonomy Address Enumeration
1740834134 Katelyn Smith Speech-Language Pathologist 829 S Washington Ave Ste C, Emmett, ID 83617-3528 2019-07-24
1033688320 Katelyn Smith Speech-Language Pathologist 6925 Old Waterloo Rd, Elkridge, MD 21075-6529 2018-11-16
1497275226 Katelyn R Smith Dentist 3973 Atlanta Hwy Ste 100, Loganville, GA 30052-3750 2017-06-22
1528669744 Katelyn Smith Physician Assistant 7620 Lake Underhill Rd, Orlando, FL 32822-8223 2020-11-04
1720692379 Katelyn Elizabeth Smith Student in an Organized Health Care Education/Training Program 345 W Kennedy Ave Apt 12, Grand Junction, CO 81505-7192 2020-09-01
1417565565 Katelyn Carole Smith Nurse Practitioner 1009 N Thompson Ln, Murfreesboro, TN 37129-4351 2020-07-15
1285252007 Katelyn Smith Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904-2843 2020-07-08
1487206389 Katelyn E Smith Counselor 17320 Moore Rd, Boyds, MD 20841-9530 2019-07-10
1669938221 Katelyn C. Smith Community/Behavioral Health 1776 Tremainsville Rd, Toledo, OH 43613-4039 2019-02-19
1003309980 Katelyn D Smith Behavioral Analyst 90 Hospital Dr, Athens, OH 45701-2301 2018-06-14

Office Location

Street Address 100 WOODS RD
City VALHALLA
State NY
Zip Code 10595

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265436802 Nagwa S. Saleh Radiology 100 Woods Rd, Valhalla, NY 10595-1530 2005-06-10
1639779663 Trevor Anthony Chen Jr. Pharmacy Technician 100 Woods Rd, Valhalla, NY 10595-1530 2020-10-28
1316544620 Hansol Lee Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2020-10-08
1205445558 Rizwan Amin Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2020-07-23
1639788821 Ailan Zhang Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2020-07-23
1578171302 Yarden Bornovski Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2020-07-17
1780201517 Anita Boonyoo Nurse Practitioner 100 Woods Rd, Valhalla, NY 10595-1530 2020-06-27
1972129807 Lia C Iacuone Nurse Anesthetist, Certified Registered 100 Woods Rd, Valhalla, NY 10595-1530 2020-06-16
1578187852 Miriam Heller Nurse Anesthetist, Certified Registered 100 Woods Rd, Valhalla, NY 10595-1530 2020-06-03
1710509716 Jennifer Zappa Pharmacist 100 Woods Rd, Valhalla, NY 10595-1530 2020-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871126946 Evan Alexander Formosa Student in an Organized Health Care Education/Training Program 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 2020-02-18
1124673223 Mozibur Rahman Student in an Organized Health Care Education/Training Program C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 2019-08-06
1235650243 Ana Karla F Arias Psychologist 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 2017-06-29
1336682327 Adriana Josandy Arias Case Manager/Care Coordinator 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 2016-11-23
1740632934 Philippe Hoffmann Counselor 1700 Old Orchard, Valhalla, NY 10595 2016-07-12
1396195020 Elizabeth Hendricks Social Worker 1700 Old Orchard St, Valhalla, NY 10595 2016-06-14
1427437771 Stephany Rodriguez Case Manager/Care Coordinator 503 Grasslands Road, Suite 101, Valhala, NY 10595 2015-05-20
1437536182 Shajiuddin Faraz Mohammed Psychiatry & Neurology 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 2015-05-01
1841685013 Barbara Constantine Physical Therapist 70 Colubus Ave., Valhalla, NY 10595 2015-04-03
1316330418 Victor Tseng Anesthesiology 100 Woods Rd Rm D-228, Valhalla, NY 10595 2015-03-12
Find all providers in zip 10595

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316544620 Hansol Lee Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2020-10-08
1437790698 Courtney Bellissimo Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2019-09-30
1114573383 Sarah Meghan Amos Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2019-08-14
1356997787 Kayla Christine O'brien Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2019-08-12
1386296689 Divya Viswanathan Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2019-07-16
1215494661 Sara Graney Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2019-02-21
1750803037 Lauren Hanley Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2017-07-08
1417402652 Jessica Mesidor Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2016-08-17
1538417316 Yvonne M Moran Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2012-08-27
1497036941 Maryana Koshyk Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2011-08-29
Find all providers in VALHALLA

Competitor

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City VALHALLA
Zip Code 10595

Improve Information

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Dataset Information

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.

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