KATRINA J SMITH


Address: 4215 Edgewater Dr, Orlando, FL 32804-2206
Phone: 9738268080

KATRINA J SMITH (NPI# 1689964462) 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) 1689964462
Entity Type Individual
Full Name KATRINA J SMITH
Credential P.A.
Practice Address 4215 Edgewater Dr
Orlando
FL 32804-2206
Mailing Address Po Box 4059
Wayne
NJ 07474-4059
Practice Telephone 9738268080
Practice Fax Number 8889726480
Mailing Telephone (973) 826-8080
Mailing Fax Number 8889726480
Enumeration Date 2011-04-13
Last Update Date 2017-09-28
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
PA9105946 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DC QSS SCS PTAN FB469U 01

Other Providers KATRINA SMITH

NPI Name Taxonomy Address Enumeration
1114486768 Katrina Smith Occupational Therapist 44 N 300 E, Provo, UT 84606-3211 2019-03-13
1619479516 Katrina Reanne Smith Specialist/Technologist 237 Prevost Rd, Cloquet, MN 55720-9420 2018-03-06
1063954899 Katrina Smith Chiropractor 2050 Oleander Blvd, 8-201, Fort Pierce, FL 34950-5334 2016-11-10
1699179853 Katrina Smith Specialist/Technologist 1 Indian Trl, Piqua, OH 45356-9257 2014-10-17
1063779692 Katrina Smith Mechanotherapist 1712 Coe Rd Sw, Albuquerque, NM 87105-7025 2012-04-20
1831713353 Katrina Smith Occupational Therapist 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 2020-06-01
1700421591 Katrina Joyce Smith Licensed Practical Nurse 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 2019-11-15
1114576543 Katrina Mae Smith Nurse Practitioner 1101 26th St S, Great Falls, MT 59405-5161 2019-09-09
1083175129 Katrina Smith Occupational Therapy Assistant 2707 Pine St, San Francisco, CA 94115-2522 2019-03-29
1740766336 Katrina Elaina Smith Audiologist 1001 James St, Syracuse, NY 13203-2789 2018-07-17

Office Location

Street Address 4215 EDGEWATER DR
City ORLANDO
State FL
Zip Code 32804-2206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225022239 John Leslie Steele Physician Assistant 4215 Edgewater Dr, Orlando, FL 32804-2206 2005-09-06
1518369578 Brett Young Specialist/Technologist, Other 4215 Edgewater Dr, Orlando, FL 32804-2206 2014-09-22
1740521137 Qss-southeast Clinical Services LLC Surgery 4215 Edgewater Dr, Orlando, FL 32804-2206 2013-03-08
1972844660 Nicole Moskal Physician Assistant 4215 Edgewater Dr, Orlando, FL 32804-2206 2013-03-06
1083968820 Denise Livingston Nurse Practitioner 4215 Edgewater Dr, Orlando, FL 32804-2206 2012-11-01
1932456985 William Lee Earp IIi Specialist/Technologist, Other 4215 Edgewater Dr, Orlando, FL 32804-2206 2012-08-09
1497901029 Anthony Allen Moore Physician Assistant 4215 Edgewater Dr, Orlando, FL 32804-2206 2008-08-14
1518160779 Stephen E Mcnally Sr. Specialist 4215 Edgewater Dr, Orlando, FL 32804-2206 2007-06-06
1295876969 Gueorgui T Maltchev Physician Assistant 4215 Edgewater Dr, Orlando, FL 32804-2206 2007-02-08
1972653160 Diana K Marl Physician Assistant 4215 Edgewater Dr, Orlando, FL 32804-2206 2007-01-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881252716 Alyssa Bass Counselor 3130 Edgewater Dr, Orlando, FL 32804 2019-06-05
1841856366 Debora Cheryl Ramirez Technician/Technologist 1231 North Orange Ave, Orlando, FL 32804 2019-05-10
1679074009 Jessica Dobbs Counselor 3801 Grant Blvd, Orlando, FL 32804 2018-02-21
1881109031 Pedro Mendez Jr. Counselor 1800 W. Colonial Drive, Orlando, FL 32804 2017-12-11
1902259310 Michael Lo Nurse Practitioner 2400 N Orange Ave Ste 302, Orlando, FL 32804 2016-07-20
1083093595 Michael Gregg Student in an Organized Health Care Education/Training Program 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 2015-05-29
1922485473 Lindsay Rae Piet Physician Assistant 1910 N. Orange Ave., Orlando, FL 32804 2015-05-05
1093106189 College Park Community Acupuncture & Herbal Medicine Acupuncturist 710 W. Princeton Street., Suite A, Orlando, FL 32804 2015-02-10
1164822359 Orlando Sleep Solutions, LLC Durable Medical Equipment & Medical Supplies 2921 N. Orange Ave, Orlando, FL 32804 2014-08-26
1780926741 Joseph Arturo Reza Student in an Organized Health Care Education/Training Program 2415 N Orange Ave #400, Orlando, FL 32804 2013-03-17
Find all providers in zip 32804

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
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
1750843405 Heather Louise Anderson Physician Assistant 5422 Lewiston St, Orlando, FL 32812 2019-04-02
1649600891 Raul F Velez Physician Assistant 14139 Budworth Cir, Orlando, FL 32832-6123 2013-11-24
1255630075 Joleen Chapman Physician Assistant 122 Annie St, Orlando, FL 32806-1214 2011-03-18
1124354600 Tiffany M Murray Physician Assistant 83 W Copeland Dr, Orlando, FL 32806-2002 2009-10-19
1225277825 M Catherine Broderick Physician Assistant 1720 S Cook Avenue, Orlando, FL 32808 2009-02-05
1033360938 Monica M Rivera Physician Assistant 2591 Carrickton Cir, Orlando, FL 32824-4217 2008-10-09
1316104383 Michele D Young Physician Assistant 3802 Oakwater Cir Ste 3, Orlando, FL 32806-6200 2008-05-19
1033162011 Southeastern Clinical Services,inc. Physician Assistant 4215 Edgewater, Orlando, FL 32804 2006-05-18
1386696631 Kevin P Kingsley Physician Assistant 2501 N Orange Ave Ste 411, Orlando, FL 32804-4644 2006-05-16
Find all providers in ORLANDO

Competitor

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City ORLANDO
Zip Code 32804

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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