ALYSSA NICOLE SMITH NPI 1033919519

NPI Information

  • NPI: 1033919519
  • Provider Name: ALYSSA NICOLE SMITH
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3900 KRESGE WAY STE 42
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 899-3858

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NPI Details

Alyssa Nicole Smith is a family nurse practitioner in Louisville, KY with 2 years of experience. Alyssa Nicole Smith NPI is 1033919519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2024

The provider's business location address is:

3900 KRESGE WAY STE 42
LOUISVILLE, KY
ZIP 40207-681
Phone: (502) 899-3858

The NPI 1033919519 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2025 and was last updated on 3/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4035999KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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