KYLE SMITH (NPI# 1386906360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386906360 |
| Entity Type | Individual |
| Full Name | KYLE SMITH |
| Credential | C.PED |
| Practice Address |
2401 Executive Plaza Rd Suite 1 Pensacola FL 32504-8277 |
| Practice Telephone | 8504745003 |
| Practice Fax Number | 8506868394 |
| Mailing Telephone | 8504745003 |
| Mailing Fax Number | 8506868394 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | C.F.O.00226 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224L00000X | Pedorthist | PED207 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176794 | Kyle Smith | Behavior Technician | 146 Highland Dr, Deltona, FL 32738-2262 | 2019-10-28 |
| 1346803764 | Kyle Smith | Social Worker | 71 Westcott Rd Unit B, Danielson, CT 06239-2929 | 2019-04-22 |
| 1649623968 | Kyle Bryant Smith | Specialist/Technologist, Other | 825 9th Ave Apt 2, Fairbanks, AK 99701-4408 | 2016-07-21 |
| 1093069437 | Kyle D Smith | Chiropractor | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 | 2012-11-07 |
| 1528330750 | Kyle Smith | Contractor | 8225 S Oglesby, Chicago, IL 60617 | 2012-02-03 |
| 1659683324 | Kyle Alan Smith | Dentist | 2941 Piedmont Road N.e. Suite E, Atlanta, GA 30305 | 2010-07-09 |
| 1144554650 | Kyle Smith | Acupuncturist | 17040 W. Greenfield Ave, Suite #6, Brookfield, WI 53005-6899 | 2009-09-30 |
| 1437198108 | Kyle A Smith | Physical Therapist | 270 Penn Way, Los Gatos, CA 95032-2618 | 2006-06-06 |
| 1184663726 | Kyle G Smith | Psychiatry & Neurology | 888 W Big Beaver Rd, 1450, Troy, MI 48084-4736 | 2006-06-06 |
| 1144282476 | Kyle Alexander Smith | Optometrist | 3401 Minnesota Dr Ste 200, Anchorage, AK 99503-3684 | 2006-04-03 |
| Street Address |
2401 EXECUTIVE PLAZA RD SUITE 1 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588117055 | A Step Ahead Pedorthics & Orthotics LLC | Prosthetic/Orthotic Supplier | 2401 Executive Plaza Rd, Suite 1-a, Pensacola, FL 32504-8277 | 2016-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861931917 | John Bradley Belcher | Pedorthist | 825 E Burgess Rd, Pensacola, FL 32504-7001 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972089910 | Robert Alan Feldma | Pedorthist | 500 Nw 24th Ave, Boynton Beach, FL 33426-8787 | 2018-07-12 |
| 1215420914 | Tko Orthotics and Prosthetics | Pedorthist | 200 E Washington St Unit B, Minneola, FL 34715-9209 | 2018-06-07 |
| 1255869442 | Shari Elizabeth Kontrath | Pedorthist | 6780 Samba St, Fort Pierce, FL 34945-3069 | 2017-06-01 |
| 1033652789 | Amber L Helm | Pedorthist | 313 S Oakland Ave, Minneola, FL 34715-9539 | 2016-11-29 |
| 1548544505 | Jamie T Hill | Pedorthist | 3423 E Silver Springs Blvd Ste 2, Ocala, FL 34470-6464 | 2011-10-07 |
| 1336671460 | W R Rosen Inc | Pedorthist | 100 Se 15th Ave, Fort Lauderdale, FL 33301-3985 | 2017-03-29 |
| 1932507407 | Edward Daniels IIi | Pedorthist | 300 E Oakland Park Blvd, 369, Oakland Park, FL 33334-2148 | 2014-12-15 |
| 1295151868 | Bruce Lamont Newman | Pedorthist | 11412 Okeechobee Blvd, Royal Palm Beach, FL 33411-8722 | 2014-03-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.