Individual provider Active NPI

Smitha Fleviya, REGISTERED NURSE

  • Registered Nurse
  • Visalia, CA
National Provider Identifier
1558818153
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
696172 Issued in CA
Practice address
4636 W Douglas Ave
Apt # 204
Visalia, CA 93291-4198
Phone
(559) 827-1100
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 696172 CA Primary

Addresses

Primary practice location

4636 W Douglas Ave
Apt # 204
Visalia, CA 93291-4198

Mailing address

4636 W Douglas Ave
Apt# 204
Visalia, CA 93291-4198
Phone (559) 827-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20171019002130 CA Practitioner - Nurse Practitioner 8921383761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

325 S Willis St
Visalia, CA 93291-6105
Phone (559) 624-4080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 27, 2018 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 27, 2018 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

325 S Willis St
Visalia, CA 93291
Phone (559) 624-4080

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Interoperability endpoints

  • Direct secure messaging: smitha.fleviya.p1@direct.altura.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1558818153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 W DOUGLAS AVE",
            "address_2": "APT# 204",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914198",
            "telephone_number": "559-827-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 W DOUGLAS AVE",
            "address_2": "APT # 204",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914198",
            "telephone_number": "559-827-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEVIYA",
        "first_name": "SMITHA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "696172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.