Katelyn Marie Smith is a Physician Assistant practicing in Rochester, Michigan. The National Provider Identifier (NPI) is #1518435122, which was assigned on November 13, 2018, and the registration record was last updated on August 1, 2025. The practitioner's main practice location is at 1135 W University Dr, Ste 175, Rochester, MI 48307; the contact telephone number is 2486505864, and the fax number is 2486505865. The primary taxonomy of Katelyn Marie Smith is Physician Assistant (363A00000X). Katelyn Marie Smith is licensed to practice in the state of Michigan (#5601009664).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1518435122 |
| Entity Type | Individual |
| Provider Name | KATELYN MARIE SMITH |
| Gender | Female |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1135 W University Dr Ste 175 Rochester MI 48307 |
| Practice Telephone | 2486505864 |
| Practice Fax Number | 2486505865 |
| Mailing Address |
1135 W University Dr Ste 175 Rochester MI 48307 |
| Mailing Telephone | 2486505864 |
| Mailing Fax Number | 2486505865 |
| Certification Date | 2025-02-11 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2025-08-01 |
| NPI Deactivation Date | 2025-05-30 |
| NPI Reactivation Date | 2025-08-01 |
| Is Sole Proprietor | N |
| PAC ID |
1153753108 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KATELYN M SMITH |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | BLUE WATER URGENT CARE PLLC |
| Address |
2700 Pointe Tremble Rd Algonac MI 48001-1836 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601009664 | MI |
| Address | Telephone | Fax |
|---|---|---|
| Health Professions 1223 Central Michigan University, Mount Pleasant, MI 488590001 | 9897742337 | 9897742433 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Caroline Rose Dolan | 234 E 149th St, Bronx, NY 10451-5504 | Physician Assistant | 2025-10-10 |
| Samuel Dang | 6675 Corporate Center Pkwy Ste 115, Jacksonville, FL 32216-8088 | Physician Assistant | 2025-10-09 |
| Ekaterina Vasiliki Apostolou | 8131 Old Tavern Rd, Roanoke, VA 24019-6808 | Physician Assistant | 2025-10-11 |
| Serenity Pa Psychiatric Services PLLC | 5904 Pine Tree Ct, Raleigh, NC 27609-4244 | Physician Assistant | 2025-10-09 |
| Chun-Rung Chen | 360 Linden Oaks Ste 220, Rochester, NY 14625-2814 | Physician Assistant | 2025-10-10 |
| Sheila Perez | 9111 Park Dr, Miami Shores, FL 33138-3159 | Physician Assistant | 2025-10-10 |
| Chester Borge | 322 Nw 107th Ave Apt 8a, Miami, FL 33172-3873 | Physician Assistant | 2025-10-10 |
| Vanessa Olivier-Meo | 12937 Nw 24th Ave, Miami, FL 33167-1577 | Physician Assistant | 2025-10-10 |
| Samantha Eriko Miyashita | 110 W 97th St, New York, NY 10025-6450 | Physician Assistant | 2025-10-10 |
| National Physiatry, LLC | 2201 Bay Ave, Ocean City, NJ 08226-2568 | Physician Assistant | 2025-10-10 |
| Find all providers with the same taxonomy | |||
| Street Address |
1135 W UNIVERSITY DR STE 175 |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mariam Sabah Nissan | 1135 W University Dr Ste 250, Rochester, MI 48307-1886 | Student in an Organized Health Care Education/Training Program | 2025-04-09 |
| Mazen S Afram M.D.P.C. | 1135 W University Dr Ste 175, Rochester, MI 48307-1893 | Internal Medicine Physician | 2010-12-27 |
| Zeeshan Shahriar Husain | 1135 W University Dr Ste 305, Rochester, MI 48307-1892 | Foot & Ankle Surgery Podiatrist | 2005-08-10 |
| Robert G. Dekker II | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | Orthopaedic Foot and Ankle Surgery Physician | 2013-03-22 |
| Peter Joseph Korda | 1135 W University Dr, Ste 240, Rochester, MI 48307-1890 | Surgery Physician | 2006-10-19 |
| Natalie Mariani | 1135 W University Dr, Rochester, MI 48307-1871 | Pharmacist | 2017-06-23 |
| Boondarik Sandy Phuengsomboonying | 1135 W University Dr Ste 250, Rochester, MI 48307-1886 | Student in an Organized Health Care Education/Training Program | 2024-04-10 |
| Eden Roth | 1135 W University Dr Ste 425, Rochester, MI 48307-1897 | Physical Medicine & Rehabilitation Physician | 2021-05-10 |
| Jamal Rashad Hoyte | 1135 W University Dr, Rochester, MI 48307-1871 | Student in an Organized Health Care Education/Training Program | 2025-06-24 |
| Specialists In Rehabilitation Medicine PC | 1135 W University Dr Ste 175, Rochester, MI 48307-1893 | Physical Medicine & Rehabilitation Physician | 2006-02-21 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Align Chiropractic Clinic | 427 6th St, Rochester, MI 48307-1401 | Chiropractor | 2015-06-15 |
| Star Chiropractic LLC | 407 6th St Ste B, Rochester, MI 48307-1456 | Medical Specialty Clinic/Center | 2009-01-12 |
| Michael Aria Assadi | 1101 W University Dr, Rochester, MI 48307 | Student in an Organized Health Care Education/Training Program | 2025-05-15 |
| Sarah Alzaroui | 1101 W University Drive 2 South, Rochester Hills, MI 48307 | Student in an Organized Health Care Education/Training Program | 2025-04-03 |
| Amy Wright | 811 Oakwood Dr Ste 203, Rochester, MI 48307-1362 | Obstetrics & Gynecology Physician | 2005-09-06 |
| Prime Home Help LLC | 54164 Deer Ridge Court, Rochester, MI 48307 | In Home Supportive Care Agency | 2025-04-07 |
| Daniel Gizynski | 530 Pine St, Suite #2 & 3, Rochester, MI 48307-1482 | Chiropractor | 2006-07-28 |
| Dina Khoury | 600 N Main St, Ste 100, Rochester, MI 48307-1426 | Dentist | 2007-01-19 |
| Travis Rich | 969 Oakwood Dr, Rochester Hills, MI 48307-1318 | Podiatrist | 2021-06-21 |
| Manal Elia | 130 Hampton Circle, Suite 150, Rochester Hills, MI 48307 | Massage Therapist | 2014-07-23 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Katelyn Marie St Peter · Katelyn Marie Michaud | 552 Main St, Caribou, ME 04736-4404 | Physical Therapist | 2021-04-18 |
| Katelyn Marie Kilgore | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | Military Health Care Provider | 2024-02-09 |
| Katelyn Ann Smith | 831 Walnut St, New Holland, PA 17557-9710 | Registered Dietitian | 2025-07-01 |
| Katelyn De Leon · Katelyn Smith | 1515 Holcombe Blvd, Houston, TX 77030-4000 | Family Nurse Practitioner | 2025-09-11 |
| Katelyn Marie Lance · Katelyn Marie Ecke | 665 Philadelphia St Ste 202, Indiana, PA 15701-3941 | Addiction (Substance Use Disorder) Counselor | 2025-03-05 |
| Katelyn Smith | 1836 Nw 52nd St # B, Lawton, OK 73505-3122 | Behavior Technician | 2022-10-31 |
| Katelyn Smith | 309 Wilshire Dr, Washington, IL 61571-1354 | Behavior Technician | 2025-05-30 |
| Katelyn Smith | 7109 N Bartlett Ave Ste 101, Laredo, TX 78041-6473 | Family Medicine Physician | 2021-04-14 |
| Katelyn Marie Melara · Katelyn Marie Boyd | 15815 Ne 48th Cir, Vancouver, WA 98682-5215 | Mental Health Counselor | 2019-12-24 |
| Katelyn Summer Smith | 503 N 21st St, Camp Hill, PA 17011-2204 | Registered Nurse | 2025-07-03 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |