Organization Active NPI

Katrina Jahen Smith PLLC

  • Surgical Physician Assistant
  • Land O Lakes, FL
National Provider Identifier
1164900338
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9105946 Issued in FL
Legal business name
KATRINA JAHEN SMITH PLLC
Practice address
21742 Garden Walk Loop
Land O Lakes, FL 34637-7610
Phone
(813) 368-0683
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Mrs. Katrina Jahen Smith, PA-C
Title
Physician Assistant
Phone
(813) 368-0683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X PA9105946 FL Primary

Addresses

Primary practice location

21742 Garden Walk Loop
Land O Lakes, FL 34637-7610

Mailing address

PO Box 2101
Land O Lakes, FL 34639-2101
Phone (813) 368-0683

Other identifiers 1

IdentifierTypeStateIssuer
PA9105946OtherFLFLORIDA DEPARTMENT OF MEDICINE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1164900338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346392101",
            "telephone_number": "813-368-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21742 GARDEN WALK LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377610",
            "telephone_number": "813-368-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA JAHEN SMITH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "JAHEN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "813-368-0683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF MEDICINE",
            "identifier": "PA9105946",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.