Abigail Alexa Smith

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

371 N Washington St
Wilkes Barre, PA 18705-2425

Phone

(603) 913-4278

NPI assigned

Sep 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1457870503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 N WASHINGTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187052425",
            "telephone_number": "603-913-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 N WASHINGTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187052425",
            "telephone_number": "603-913-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ABIGAIL",
        "middle_name": "ALEXA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raluca Andreea Slusser, FNP
• Jane Smallcomb, RN
• Nishith V Smart, M.D.
• Casondra Smicherko, RPH
• Gabriela Smicherko
• Brent Tyler Smith, NP
• Brianna Smith, LCSW
• Cameron Tyler Smith, DO
• Jennifer Smith, BA PSYCH
• Kendal Smith

• Athletic Trainer in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.