Provider Type Icon

KATHERINE SMYTH ATWOOD PA-C NPI 1376900084


NPI Information

NPI: 1376900084
Provider Name: KATHERINE SMYTH ATWOOD, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: WATERS EDGE DERMATOLOGY LLC

PECOS Registration: Yes

Address:
7765 144TH ST UNIT 1
SEBASTIAN, FL
ZIP 32958
Phone: (723) 883-5577
Get Directions

Katherine Smyth Atwood, PA-C is a medical physician assistant in Sebastian, FL with 9 years of experience. Katherine Smyth Atwood, PA-C NPI is 1376900084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MISSISSIPPI MEDICAL COLLEGE
Graduation Year:2015

The provider's business location address is:

7765 144TH ST UNIT 1
SEBASTIAN, FL
ZIP 32958-206
Phone: (723) 883-5577
Fax: (772) 388-3557

The NPI 1376900084 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 1/26/2016 and was last updated on 10/28/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA9109329FLORIDAYes

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: 11/14/2023

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.