KYLIE KATHLEEN SMITH (NPI# 1932548443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932548443 |
| Entity Type | Individual |
| Full Name | KYLIE KATHLEEN SMITH |
| Credential | P.A. |
| Practice Address |
630 S Raymond Ave Unit 330 Pasadena CA 91105-3206 |
| Practice Telephone | 6267938194 |
| Practice Fax Number | 6267933664 |
| Mailing Telephone | 6267938194 |
| Mailing Fax Number | 6267933664 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA23036 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365425 | Kylie Smith | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-04-18 |
| 1366073322 | Kylie Nichole Smith | Social Worker | 100 North Bellefield Ave, Sixth Floor, Pittsburgh, PA 15213 | 2020-01-29 |
| 1477016426 | Kylie Smith | Case Manager/Care Coordinator | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2019-04-08 |
| 1639545239 | Kylie Smith | Occupational Therapist | 1203 N 13th St, Norfolk, NE 68701-2609 | 2015-08-18 |
| 1144636192 | Kylie Smith | Registered Nurse | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-07-09 |
| 1518398874 | Kylie D. Smith | Social Worker | 1510 Willow Lawn Dr, Suite 101, Richmond, VA 23230-3429 | 2013-12-11 |
| 1124342605 | Kylie Brown Smith | Nurse Practitioner | 58 S Bells St, Alamo, TN 38001-1700 | 2010-03-26 |
| 1871736041 | Kylie Ann Smith | Obstetrics & Gynecology | 4011 Talbot Rd S, Suite 430, Renton, WA 98055-5773 | 2009-04-17 |
| 1801004023 | Kylie Smith | Physical Therapist | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2007-05-20 |
| Street Address |
630 S RAYMOND AVE UNIT 330 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326070558 | Alan B Karme | Psychiatry & Neurology | 630 S Raymond Ave Unit 330, Pasadena, CA 91105-3206 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194175281 | Holly Stabler | Physician Assistant | 150 W Dayton St Apt 4037, Pasadena, CA 91105-4555 | 2016-06-20 |
| 1235551995 | Theresa Sivers-teixeira | Physician Assistant | 625 South Fair Oaks, #400, Pasadena, CA 91105 | 2014-01-15 |
| 1679704548 | Diana A Perez | Physician Assistant | 5213 Center St, Pasadena, TX 77505-1866 | 2009-07-27 |
| 1366677254 | Yana Yarchuk | Physician Assistant | 65 N Madison Ave Ste 310, Pasadena, CA 91101-2050 | 2009-05-20 |
| 1861545352 | Mihaela Varga | Physician Assistant | 473 N Fair Oaks Ave, Pasadena, CA 91103-3621 | 2007-01-19 |
| 1255436366 | Bertha Campos | Physician Assistant | 3801 Vista Rd Ste 100, Pasadena, TX 77504-2160 | 2006-09-13 |
| 1619970191 | Andrew Vargas | Physician Assistant | 3315 Burke Rd, Ste 202, Pasadena, TX 77504-1823 | 2005-05-27 |
| 1265905236 | Nicole Fiss | Physician Assistant | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2019-01-02 |
| 1730670753 | Mary Katherine Byrd Armstrong | Physician Assistant | 4450 E Sam Houston Pkwy S Ste H2, Pasadena, TX 77505-3950 | 2018-05-24 |
| 1376086140 | Jasleen Kaur | Physician Assistant | 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 | 2016-11-28 |
| Find all providers in PASADENA | ||||
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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.