Active NPI
Nadya Alexandra Smith, PA-C
- Physician Assistant
- Darrington, WA
National Provider Identifier
1982644134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004298
- Practice address
- 1190 Riddle St
Darrington, WA 98241 - Phone
- (360) 436-1055
- NPI assigned
- Jun 7, 2006
- Last updated
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004298 | WA | Primary |
Addresses
Primary practice location
1190 Riddle St
Darrington, WA 98241
Mailing address
1190 Riddle St
PO Box 390
Darrington, WA 98241
Phone (360) 436-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8319246 | Medicaid | WA |
Other names 1
- Nadya Leonard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10004298 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients | |
| David a Dunnington MD | Past | Accepting new patients |
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.
-
dba Smokey Point Family Medicine
- Family Medicine Physician
- Arlington, WA
- NPI 1326461468
-
dba Skagit Regional Health - Darrington Family Medicine
- Rural Health Clinic/Center
- Darrington, WA
- NPI 1013064575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1982644134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 RIDDLE ST",
"address_2": "PO BOX 390",
"city": "DARRINGTON",
"state": "WA",
"postal_code": "98241",
"telephone_number": "360-436-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 RIDDLE ST",
"city": "DARRINGTON",
"state": "WA",
"postal_code": "98241",
"telephone_number": "360-436-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NADYA",
"middle_name": "ALEXANDRA",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8319246",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NADYA",
"last_name": "LEONARD",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Darrington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.