ALICIA TAMARA PORTUONDO-SMITH NURSE PRACTITIONER
NPI 1730400482
Nurse Practitioner - Psychiatric/Mental Health in Glen Head, NY

Q: What is Alicia Portuondo-smith's NPI number?

The NPI number for Alicia Portuondo-smith is 1730400482. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Alicia Portuondo-smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 17, 2010PECOS Enrolled

189 WHEATLEY RD, GLEN HEAD, NY 11545(516) 686-4400 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2018, Jul 27, 2017 (2 updates tracked since 2017).

On this page

About Alicia Tamara Portuondo-smith Nurse Practitioner NPPES

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

ALICIA TAMARA PORTUONDO-SMITH NURSE PRACTITIONER (NPI 1730400482) is an individual psychiatric/mental health provider in Glen Head, New York, licensed in New York (F402195-1) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730400482

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameALICIA TAMARA PORTUONDO-SMITHCredential: NURSE PRACTITIONER

Location Address189 WHEATLEY RDGlen Head, NY 11545-2641

Mailing Address189 Wheatley RdGlen Head, NY 11545-2641 · (516) 686-4400

Phone(516) 686-4400

Sole ProprietorNo

Enumeration DateJune 17, 2010

Last NPPES UpdateDecember 19, 20182 updates tracked since enumeration

✔ NPI 1730400482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F402195-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 590004 (NY)

189 WHEATLEY RD, Glen Head, NY 11545

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Tamara Portuondo-smith Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. DARCI SUSAN WEISSBROT RD

Dietitian, Registered

189 WHEATLEY RD
GLEN HEAD, NY 11545

Nassau County (516) 626-1000

PAMELA GORDON OT

Occupational Therapy Assistant

189 WHEATLEY RD
GLEN HEAD, NY 11545

Nassau County (516) 626-1075

ASHLEIGH E JOHNSON RN BSN

Registered Nurse (School)

189 WHEATLEY RD
GLEN HEAD, NY 11545

Nassau County (516) 626-1000

ADVANTAGE CARE DIAGNOSTIC AND TREATMENT CENTER ,INC

Clinic/Center (Federally Qualified Health Center (FQHC))

189 WHEATLEY RD
BROOKVILLE, NY 11545

Nassau County (516) 626-1075

MS. FRANCES MARIE GOODNESS

Registered Nurse (School)

189 WHEATLEY RD
GLEN HEAD, NY 11545

Nassau County (516) 626-1000

MS. CHRISTINE M CIRNIGLIARO RN

Registered Nurse (School)

189 WHEATLEY RD
GLEN HEAD, NY 11545

Nassau County (516) 626-1000

RADHIKA KHALE OTR/L

Occupational Therapist (Pediatrics)

189 WHEATLEY RD
GLEN HEAD, NY 11545

Nassau County (516) 626-1000

MS. LINDA MCDONALD MA, CCC-SLP

Speech-Language Pathologist

189 WHEATLEY RD
GLEN HEAD, NY 11545

Nassau County (516) 626-1075

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 Alicia Portuondo-smith's NPI number?

The NPI number for Alicia Portuondo-smith is 1730400482. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Alicia Portuondo-smith located?

Alicia Portuondo-smith practices at 189 Wheatley Rd, Glen Head, NY 11545. The listed phone number is (516) 686-4400.

What is Alicia Portuondo-smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alicia Portuondo-smith enrolled in Medicare?

Yes. Alicia Portuondo-smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Portuondo-smith was last updated on December 19, 2018. 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.