Alicia Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032070 Issued in CA

Practice address

4683 Chabot Dr Ste 203
Pleasanton, CA 94588-3830

Phone

(949) 288-1292

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By the provider in NPPES

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

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": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1437977691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4683 CHABOT DR STE 293",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883830",
            "telephone_number": "949-288-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4683 CHABOT DR STE 203",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883830",
            "telephone_number": "949-288-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Alexandra Skoutelakis, MFT
• Ciara Lillian Skye
• Jeanie Slater
• Rebecca S. Slaughter
• Alexia A Smith
• Cassandra Smith, LVN
• Elexus Smith
• Forrest Smith, M.D.
• Gina Smith
• Jaraiah Nicole Smith

• Family Nurse Practitioner in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.