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BREANNA JOY SMITH PA-C
NPI 1700011731
Physician Assistant in Grand Rapids, MI

Active since May 20, 2009
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-6789(616) 685-3064 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 11, 2019, Oct 1, 2015 (2 updates tracked since 2015).

About Breanna Joy Smith Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA JOY SMITH PA-C (NPI 1700011731) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601005567) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1700011731
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREANNA JOY SMITHCredential: PA-C
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing AddressPo Box 5329Saginaw, MI 48603-0329 · (616) 364-6700 · Fax (989) 401-4245
Phone(616) 685-6789
Fax(616) 685-3064
Sole ProprietorYes
Enumeration DateMay 20, 2009
Last NPPES UpdateSeptember 11, 20192 updates tracked since enumeration
✔ NPI 1700011731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601005567
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.
200 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Breanna Joy Bailey Pa-c

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE LIND THOMPSON PT
Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
ANNE MARIE TALBOT CRNA
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6063
DR. ADAM MICHAEL ANDERSON MD
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000
MARIA E DIMUSTO-POORTENGA MD
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Kent County (616) 752-6554
THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5030
MELISSA SUE HUDECZ MS, OTR/L
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
TIMOTHY RUSSELL LEONARD
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 465-5910
CAMRIA RENEE DEATON BSN, RN
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Smith's NPI number?

The NPI number for Breanna Smith is 1700011731. It was assigned to this individual provider in the NPPES registry on May 20, 2009. The provider is also known as Breanna Joy Bailey Pa-C.

Where is Breanna Smith located?

Breanna Smith practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-6789.

What is Breanna Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Breanna Smith was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.