Alexandra Noelle Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

License

124404 Issued in CA

Practice address

1925 E Dakota Ave Ste Q
Fresno, CA 93726-4821

Phone

(559) 216-1075

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kings View

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1912114349
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1093441107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 E CHAMPLAIN DR # A123",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE STE Q",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-216-1075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 F St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937061608",
            "country_code": "US",
            "telephone_number": "559-216-1075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1393 Bailey St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305922",
            "country_code": "US",
            "telephone_number": "559-582-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40886 Goodwin Way",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936369900",
            "country_code": "US",
            "telephone_number": "559-603-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXANDRA",
        "middle_name": "NOELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "124404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Dental Care
• Smith Home Care Inc.
• Arriel Justine Smith-Truswell, DNP, FNP-C
• Roslyn Marie Smith-Walton
• Adam Timmothy Smith
• Alyssa Smith
• Anissa Smith
• Arianna Smith
• Arrie Marie Smith
• Ava Michelle Smith

• Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.