Anna Mae Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA001182L Issued in PA

Practice address

955 Bellefonte Ave
Lock Haven, PA 17745

Phone

(570) 748-7714

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: asmith78843@direct.geisinger.edu

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1609084607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BELLEFONTE AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "17745",
            "telephone_number": "570-748-7714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7133 Nittany Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Mill Hall",
            "state": "PA",
            "postal_code": "177519013",
            "country_code": "US",
            "telephone_number": "570-726-7992",
            "fax_number": "570-726-6554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNA MAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001182L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asmith78843@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "955 Bellefonte Ave",
            "city": "Lock Haven",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kylie Renee Sikorskas
• Michael D Sikorskas, PT
• Aaron D Simms, MD
• Haley Sinclair, PA-C
• Amber Smeal
• Cerri Smith, COTA/L
• Jamie Helen Smith, LMT
• Laura May Smith, M.D.
• Susan Elizabeth Smith, PT
• Delilah Kathryn Snook

• Physician Assistant in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.