Healthcare Provider Details

I. General information

NPI: 1598394736
Provider Name (Legal Business Name): ALYSSA CIERA SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 BARNHILL DR
INDIANAPOLIS IN
46202-5116
US

IV. Provider business mailing address

13172 SAXONY BLVD
FISHERS IN
46037-6287
US

V. Phone/Fax

Practice location:
  • Phone: 317-948-2538
  • Fax:
Mailing address:
  • Phone: 817-995-1381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01087321A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: