Active NPI
Jodie Demay Schmidt, ARNP-C
- Nurse Practitioner
- Lake Wales, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1190452
- Practice address
- 1109 Bryn Mawr Ave
Lake Wales, FL 33853-4333 - Phone
- (863) 676-3411
- Fax
- (863) 676-1015
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1190452 | FL | Primary |
Addresses
Primary practice location
1109 Bryn Mawr Ave
Lake Wales, FL 33853-4333
Mailing address
1109 Bryn Mawr Ave
Lake Wales, FL 33853-4333
Phone (863) 676-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1190452 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Water'S Edge Dermatology, LLC | Current | Accepting new patients | |
| Water'S Edge Dermatology, LLC | Current | Accepting new patients | |
| We Care Family Physicians LLC | Current | Accepting new patients |
Locations
5101 Okeechobee Rd
Fort Pierce, FL 34947
Phone (772) 595-5995
22411 US Highway 27
Lake Wales, FL 33859
Phone (863) 225-7295
6250 Lantana Rd
Ste 9
Lake Worth, FL 33463
Phone (561) 578-8100
304 E Pine St
Lakeland, FL 33801
Phone (407) 315-3637
301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039
2845 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 693-0540
600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540
264 NW Peacock Blvd
Ste 201
St Lucie West, FL 34986
Phone (772) 323-2321
217 E Central Ave
Winter Haven, FL 33880
Phone (407) 315-3637
Interoperability endpoints
- jodie.schmidt.1@27269.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1134148992
-
- General Practice Physician
- Winter Haven, FL
- NPI 1730777053
-
- Clinical Medical Laboratory
- Palm Beach Gardens, FL
- NPI 1871542787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1023041977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 BRYN MAWR AVE",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534333",
"telephone_number": "863-676-3411",
"fax_number": "863-676-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 BRYN MAWR AVE",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534333",
"telephone_number": "863-676-3411",
"fax_number": "863-676-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "JODIE",
"middle_name": "DEMAY",
"name_prefix": "Mrs.",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1190452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.