Wade Raymond Smith, ATC/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

AL 1072 Issued in FL

Practice address

4367 NW American LN
Lake City, FL 32055-4828

Phone

(386) 758-1841

NPI assigned

Feb 7, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326011883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NW GWEN LAKE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553216",
            "telephone_number": "386-719-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554828",
            "telephone_number": "386-758-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WADE",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "ATC/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "AL 1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Smith, PHARM.D.
• Temika Q Smith
• Ternita Lasharne Smith, PMHNP-BC
• Theresa W Smith, OTR/L,RN
• Virginia Foley Smith, PHARM.D.
• Wendy Smithy
• Samantha Andersen Smythe, APRN
• William Patrick Smythe, PHARMD
• Ashlee K Snowden
• Solaris Healthcare Lake City LLC

• Specialist in Lake City, FL
• Providers in Lake City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.