Individual provider Active NPI

Traci Lee Smith, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1023984739
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP70083288 Issued in WA
Practice address
11400 Airport Rd Ste 200
Everett, WA 98204-8711
Phone
(888) 281-4325
NPI assigned
Oct 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11042893 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70083288 WA Primary

Addresses

Primary practice location

11400 Airport Rd Ste 200
Everett, WA 98204-8711

Mailing address

1715 New Haven Rd
Jacksonville, FL 32211-4794
Phone (971) 258-0677

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210001384 FL Practitioner - Nurse Practitioner 4880188549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Psychiatric Care LLCGroup PAC ID 0345778536, 3 clinicians

Practice addresses (Care Compare)

160 Cypress Point Pkwy
Suite B302
Palm Coast, FL 32164-8443
Phone (386) 230-4448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11042893FLMDPsychiatric/Mental Health Nurse Practitioner
AP70083288WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Psychiatric Care LLC Psychiatric/Mental Health CurrentSince Oct 11, 2025 Accepting new patients

Locations

160 Cypress Point Pkwy
Ste B302
Palm Coast, FL 32164
Phone (386) 230-4448

9 Old Kings Rd N
Ste 123
Palm Coast, FL 32137
Phone (386) 680-0016

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023984739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 NEW HAVEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114794",
            "telephone_number": "971-258-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 AIRPORT RD STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048711",
            "telephone_number": "888-281-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACI",
        "middle_name": "LEE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11042893",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70083288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.