Heather Marie Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11995 Issued in CA

Practice address

419 Earl Rd
Shelby, NC 28150-6700

Phone

(704) 481-0555

NPI assigned

Dec 2, 2011

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seneca Healthcare DistrictGroup PAC ID 8820907140, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Seneca District Hospital Hospital, Chester, CA, CCN 051327
• Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Seneca Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Chester, CA
  • NPI 1326234022
  Medicare reassignment Care Compare group
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1396848677
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Lassen Medical Center

  • Critical Access Hospital
  • Susanville, CA
  • NPI 1538197231
  Care Compare affiliation
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1215116629
  Care Compare affiliation
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1396848677
  Care Compare affiliation

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1285902494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 INTERNATIONAL BLVD",
            "city": "MILL SPRING",
            "state": "NC",
            "postal_code": "287560269",
            "telephone_number": "661-373-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 EARL RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281506700",
            "telephone_number": "704-481-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44847 10th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342356",
            "country_code": "US",
            "telephone_number": "661-948-4523",
            "fax_number": "661-726-9625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2022-10-07",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Smart, PHARMD
• Allyson Lane Smith
• Bailey Smith, LCSW
• Brian D. Smith, M.D.
• Dimayquoaye A Smith, LCAS, GCDF, ICAADC
• Jennifer D Smith, DC, MSACN
• Jessica Bivins Smith, FNP
• Jordan Smith, LCMHC
• Joshua Smith
• Karen Smith, FNP

• Physician Assistant in Shelby, NC
• Providers in Shelby, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.