James Lyle Smuda, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126001781 Issued in VA

Practice address

1020 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4838

Phone

(850) 916-8650

NPI assigned

Oct 23, 2013

Sex

Male

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

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1104254556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 SANTA LUCIA CIR APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614838",
            "telephone_number": "850-916-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUDA",
        "first_name": "JAMES",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Smith, MD
• Sage Barrett Konans Smith
• Savannah Smith, RBT
• Sonia A Smith, ARNP
• Wayne S. Smith, PT
• Carl Maxwell Soelzer, LMHC
• Sos of Gulf Breeze Inc.
• South Seas Alf Care LLC Dba South Seas Alf
• Southeast Vascular Group LP
• Southern Speech Practitioners LLC

• Athletic Trainer in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.