MR. WADE RAYMOND SMITH ATC/L NPI 1326011883

NPI Information

  • NPI: 1326011883
  • Provider Name: MR. WADE RAYMOND SMITH, ATC/L
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 4367 NW AMERICAN LN
    LAKE CITY, FL
    ZIP 32055
  • Phone: (386) 758-1841

Map and Directions

Get Directions

NPI Details

MR. Wade Raymond Smith, ATC/L is a specialist in Lake City, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Wade Raymond Smith, ATC/L NPI is 1326011883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4367 NW AMERICAN LN
LAKE CITY, FL
ZIP 32055-828
Phone: (386) 758-1841

The enumeration date for this NPI number is 2/7/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialistAL 1072FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104020-17-0232-000MEDICARE ID-TYPE UNSPECIFIEDFLORIDADURABLE MEDICAL EQUIPMENT

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.