Individual provider Active NPI

Brittany Smith, PA-C

  • Physician Assistant
  • Pinellas Park, FL
National Provider Identifier
1588351738
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117320 Issued in FL
Practice address
6223 66TH St N
Pinellas Park, FL 33781-5025
Phone
(727) 528-4900
Fax
(727) 528-8628
NPI assigned
Apr 19, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117320 FL Primary

Addresses

Primary practice location

6223 66TH St N
Pinellas Park, FL 33781-5025

Mailing address

6223 66TH St N
Pinellas Park, FL 33781-5025
Phone (727) 528-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230712001615 FL Practitioner - Physician Assistant 6204296031 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9117320FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Physicians of Pinellas, PA CurrentSince Jul 17, 2023 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Jul 17, 2023 Accepting new patients

Locations

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1588351738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-528-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-528-4900",
            "fax_number": "727-528-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRITTANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.