Aleida Marie Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2019003486 Issued in MO

Practice address

900 E Battlefield St Ste 124
Springfield, MO 65807-5208

Phone

(417) 986-1289

Fax

(316) 462-1040

NPI assigned

Jun 7, 2007

Last updated

Apr 2, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Hospital Aurora

  • Critical Access Hospital
  • Aurora, MO
  • NPI 1467543090
  Medicare reassignment NPD
• Mercy Hospital Cassville

  • Critical Access Hospital
  • Cassville, MO
  • NPI 1285676932
  Medicare reassignment NPD
• Mercy Southern Missouri Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Springfield, MO
  • NPI 1871094052
  Medicare reassignment
• Kansas Inpatient Services, LLC

  • Hospitalist Physician
  • Wichita, KS
  • NPI 1033155973
  NPD (past)
• Kansas Long Term Care Physicians, LLC

  • Hospitalist Physician
  • Wichita, KS
  • NPI 1316973860
  NPD (past)
• Via Christi Emergency Physician Services, LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1265497747
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1467655506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BATTLEFIELD ST STE 124",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075208",
            "telephone_number": "417-986-1289",
            "fax_number": "316-462-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BATTLEFIELD ST STE 124",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075208",
            "telephone_number": "417-986-1289",
            "fax_number": "316-462-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEIDA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00840",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2019003486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Clubhouse
• Smile More, Smile Better, LLC
• Smith Management Services, LLC (Family Pharmacy #23)
• Smith Management Services, LLC (Family Pharmacy #11)
• Michael P. Smith-O'Brien, MD
• Allison Smith, PT
• Amanda Jordan Smith, FNP
• Amy Smith, ATC
• Amy Nichole Smith, PA-C
• Ann Harmon Smith, S.L.P., L.P.C.

• Physician Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.