Individual provider Active NPI

Alana Smith, PA

  • Medical Physician Assistant
  • Waipahu, HI
National Provider Identifier
1417466293
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
AMD-1248 Issued in HI
Practice address
94-1480 Moaniani St
Waipahu, HI 96797-4632
Phone
(808) 432-3100
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059280 PA
Medical Physician Assistant 363AM0700X PA9112031 FL
Medical Physician Assistant 363AM0700X AMD-1248 HI Primary

Addresses

Primary practice location

94-1480 Moaniani St
Waipahu, HI 96797-4632

Mailing address

94-1480 Moaniani St
Waipahu, HI 96797-4632
Phone (808) 432-3100

Other practice location 1

770 Kapiolani Blvd Ste 705
Honolulu, HI 96813-5241
Phone (808) 597-8791

Other practice location 2

1250 S 18th St
Fernandina Beach, FL 32034-1902
Phone (904) 321-3500

Other practice location 3

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (484) 862-3232

Other practice location 4

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (484) 862-3232

Other practice location 5

94-1480 Moaniani St
Waipahu, HI 96797-4632
Phone (808) 432-3100

Other practice location 6

770 Kapiolani Blvd Ste 705
Honolulu, HI 96813-5241
Phone (808) 597-8791

Other practice location 7

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 691-3000

Other practice location 8

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, GA, HI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20171120003521 PA Practitioner - Physician Assistant 1355608704 Reassigns benefits to 1 organization
I20190618001443 FL Practitioner - Physician Assistant 1355608704 Reassigns benefits to 2 organizations
I20190816000510 GA Practitioner - Physician Assistant 1355608704 Reassigns benefits to 1 organization
I20230613001795 HI Practitioner - Physician Assistant 1355608704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amelia Express Care, LLCGroup PAC ID 8628389244, 12 clinicians
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

1987 S 8TH St
Fernandina Beach, FL 32034-3071
Phone (904) 624-7003

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

94 -1480 Moaniani St
Waipahu, HI 96797-4632
Phone (808) 432-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112031FLMDMedical Physician Assistant
AMD-1248HIMDMedical Physician Assistant
MA059280PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 23, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 23, 2017 Accepting new patients
Amelia Express Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Amelia Express Care, LLC PastSince Dec 1, 2025 Accepting new patients

Locations

1987 S 8th St
Fernandina Beach, FL 32034
Phone (904) 624-7003

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1417466293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1480 MOANIANI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974632",
            "telephone_number": "808-432-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1480 MOANIANI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974632",
            "telephone_number": "808-432-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Kapiolani Blvd Ste 705",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135241",
            "country_code": "US",
            "telephone_number": "808-597-8791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320341902",
            "country_code": "US",
            "telephone_number": "904-321-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "484-862-3232",
            "fax_number": "484-862-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "484-862-3232",
            "fax_number": "484-862-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94-1480 Moaniani St",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967974632",
            "country_code": "US",
            "telephone_number": "808-432-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Kapiolani Blvd Ste 705",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135241",
            "country_code": "US",
            "telephone_number": "808-597-8791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91-2141 Fort Weaver Rd",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967061993",
            "country_code": "US",
            "telephone_number": "808-691-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Punchbowl St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132402",
            "country_code": "US",
            "telephone_number": "808-691-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059280",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112031",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-1248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.