Active NPI
Katrina Jahen Smith PLLC
- Surgical Physician Assistant
- Land O Lakes, FL
National Provider Identifier
1164900338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9105946
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9105946 | Other | FL | FLORIDA DEPARTMENT OF MEDICINE |
National Provider Directory
National Provider DirectoryNPI 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.