Elizabeth M Smith, PA

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

03868067 Issued in CO

Practice address

5802 Wright Dr
Loveland, CO 80538-8806

Phone

(970) 212-0517

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1588380513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SUNFLOWER DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805217577",
            "telephone_number": "970-286-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 WRIGHT DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388806",
            "telephone_number": "970-212-0517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Sunflower Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805217577",
            "country_code": "US",
            "telephone_number": "970-286-8003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CO",
            "license": "03868067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASCP",
            "identifier": "03868067",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esmith@summitpathology.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5802 Wright Dr",
            "city": "Loveland",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805388806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica L Smillie
• Alexandra Smith, OD
• Carla Irven Smith, DC
• Chad Ernest Smith, PA-C
• Elise Christine Smith, MSW, LCSW
• Emma Smith
• Eric N Smith, LSW, MSW
• Jacob C Smith, FNP-BC
• Jennifer Smith, PA-C
• Jennifer J Smith, PA

• Anatomic Pathology Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Anatomic Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.