Alyssa Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109030 Issued in FL

Practice address

4840 New Broad St
Orlando, FL 32814-6628

Phone

(407) 930-0400

NPI assigned

Oct 17, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1992256853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146628",
            "telephone_number": "407-930-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146628",
            "telephone_number": "407-930-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Smith-Vazquez, M.S., CCC-SLP
• Nidia Alicia Smith-Villanueva
• Adelaide Chloe Smith, NP-C
• Aileen E Smith, DMD
• Akayla Larren Smith
• Amethyst Smith, PHARMD
• Anita Smith
• Anita Esther Wing May Smith, MA
• Annakiah Smith
• Anyssa Estelle P Smith

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.