Advance Practice Practitioner LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ADVANCE PRACTICE PRACTITIONER LLC

Practice address

8526 Nemours Pkwy
Orlando, FL 32827-7752

Phone

(954) 993-0542

NPI assigned

Dec 13, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Allistair McDonald SmithNPI 1932682432

Title

Ceo/Physician Assistant

Phone

(954) 993-0542

Specialties & licenses 2

Addresses

Other identifiers 4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allistair McDonald Smith, PA

  • Physician Assistant
  • Davenport, FL
  • NPI 1932682432
  NPD (past) Authorized official
• Kara Maria Paglione, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1952884389
  NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1114795721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8526 NEMOURS PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277752",
            "telephone_number": "954-993-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8526 NEMOURS PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277752",
            "telephone_number": "954-993-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PRACTICE PRACTITIONER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALLISTAIR",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "CEO/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "954-993-0542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "1952884389",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952884389",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "1932682432",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932682432",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advance Balance Alliance LLC
• Advance Family Practice LLC
• Advance Healing Center, LLC
• Advance Home Health Corp
• Advance OBGYN of Central Florida
• Advance Preventive Medicine Urgent Care, LLC
• Advance Primary Quality Care Services
• Advanced 101 Mobility Solutions Corp (101 Mobility nOrlando)
• Advanced 3-D Diagnostics Inc
• Advanced Analgesia and Anesthesia, Inc

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.