KATELYN SMITH (NPI# 1528669744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528669744 |
| Entity Type | Individual |
| Full Name | KATELYN SMITH |
| Other Name | KATELYN ELIZABETH HAILE |
| Credential | PA-C |
| Practice Address |
7620 Lake Underhill Rd Orlando FL 32822-8223 |
| Practice Telephone | 3212350692 |
| Practice Fax Number | 3212350694 |
| Mailing Telephone | 3212350692 |
| Mailing Fax Number | 3212350694 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9113686 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | PA9113686 | 01 |
| 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 |
| 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 |
| 1518435122 | Katelyn Marie Smith | Physician Assistant | 100 Woods Rd, Valhalla, NY 10595 | 2018-11-13 |
| 1003309980 | Katelyn D Smith | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2018-06-14 |
| Street Address |
7620 LAKE UNDERHILL RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32822-8223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066295 | Ivette Hernandez | Internal Medicine | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2005-10-07 |
| 1013525294 | Eric A Carlon | Registered Nurse | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2020-07-14 |
| 1235761750 | Azra Jasarevic Camacho | Social Worker | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2020-02-12 |
| 1093356552 | Mavila Rachell Dumanoir-garcia | Social Worker | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-10-04 |
| 1992356059 | Melba Mae Eda | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-09-20 |
| 1447814488 | Tony John Mcneill | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-04-25 |
| 1992265979 | Sheila Blake | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-03-25 |
| 1033678719 | Malaika Stephanie Joseph | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2019-03-13 |
| 1962974071 | Dorian Nichol Williams | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2018-12-31 |
| 1164903928 | Tamekia Smith | Nurse Practitioner | 7620 Lake Underhill Rd, Orlando, FL 32822-8223 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697335 | Julie C Figaro | Physical Therapy Assistant | 7209 Curry Ford Ste E, Orlando, FL 32822 | 2020-10-26 |
| 1912411240 | Advanced Mobility of Central Florida Corp | Durable Medical Equipment & Medical Supplies | 5844 S. Semoran Blvd., Orlando, FL 32822 | 2017-11-22 |
| 1467965434 | Ashley Morgan Mcglashen | Behavior Technician | 5773 Gatlin Ave, Orlando, FL 32822 | 2017-11-13 |
| 1801315312 | Ashleigh Boyle | Counselor | 5768 S. Semoran Blvd, Orlando, FL 32822 | 2017-09-15 |
| 1528584943 | Carlos Mario Davila Sr. | Psychologist | 7113 Lakner Way, Orlando, FL 32822 | 2017-08-17 |
| 1760922876 | Guardians of Care, LLC | Family Medicine | 733 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2017-03-08 |
| 1457808529 | Rachel Richardson | Counselor | 5758 S. Seminole Blvd., Orlando, FL 32822 | 2016-09-07 |
| 1215392154 | Teresita Henao | Nurse Practitioner | 900 S Goldenrod Rd Ste B, Orlando, FL 32822 | 2015-12-18 |
| 1407221831 | Jennifer Castro | Psychologist | 4153 S Semoran, Unit 10, Orlando, FL 32822 | 2015-12-10 |
| 1821466616 | Miguel Yanes Delgado | Nurse Practitioner | 5564 East Grant St, Orlando, FL 32822 | 2015-09-10 |
| Find all providers in zip 32822 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1609473594 | Arianna Piza Cueva | Physician Assistant | 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 | 2020-10-05 |
| 1679189153 | Lynnzie Marie Kipp | Physician Assistant | 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 | 2020-09-20 |
| 1396368189 | Katharine Mcmanus | Physician Assistant | 6137 Jibway Ct, Orlando, FL 32807-2909 | 2020-05-27 |
| 1124651328 | Kayleigh E Hunt | Physician Assistant | 86 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-16 |
| 1326679093 | Hae Jeung | Physician Assistant | 1713 Circe Lake Ct, Orlando, FL 32826-4645 | 2020-01-30 |
| 1902445844 | Christina Pagan | Physician Assistant | 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 | 2019-12-23 |
| 1154969335 | Shahed Hmeidan | Physician Assistant | 2624 Clementon Park Ct, Orlando, FL 32835-6160 | 2019-12-18 |
| 1609414143 | Amber Grimm | Physician Assistant | 2144 Bristol Grande Way, Orlando, FL 32820-2781 | 2019-12-16 |
| 1255976213 | Katherine Mary Vanhove | Physician Assistant | 1310 E Esther St, Orlando, FL 32806-4128 | 2019-11-14 |
| Find all providers in ORLANDO | ||||
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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.