ALYSSA SMITH PA-C NPI 1407321680

NPI Information

  • NPI: 1407321680
  • Provider Name: ALYSSA SMITH, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1160 E 3900 S STE 1200
    SALT LAKE CITY, UT
    ZIP 84124
  • Phone: (801) 261-9651

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NPI Details

Alyssa Smith, PA-C is a medical physician assistant in Salt Lake City, UT. Alyssa Smith, PA-C NPI is 1407321680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1160 E 3900 S STE 1200
SALT LAKE CITY, UT
ZIP 84124-251
Phone: (801) 261-9651
Fax: (801) 261-9656

The NPI 1407321680 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 10/3/2018 and was last updated on 2/7/2022.

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
1363AM0700XPhysician AssistantMedicalYes

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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