Individual provider Active NPI

Katherine Alexandra Smith

  • Family Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1053106567
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038898 Issued in FL
Practice address
1075 Town Center Dr
Orange City, FL 32763-8360
Phone
(386) 917-0333
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11038898 FL Primary

Addresses

Primary practice location

1075 Town Center Dr
Orange City, FL 32763-8360

Mailing address

1075 Town Center Dr
Orange City, FL 32763-8360
Phone (386) 917-0333

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
I20250604000066 FL Practitioner - Nurse Practitioner 6305355074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Practice Associates MD PA 22 clinicians

Practice addresses (Care Compare)

1075 Town Ctr Dr
Orange City, FL 32763-8360
Phone (386) 917-0333

Hospital & facility affiliations

  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
  • Oviedo Medical Center Hospital, Oviedo, FL, CCN 100329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11038898FLMDFamily Nurse Practitioner

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Pulmonary Practice Associates MD PA Pulmonary Disease CurrentSince Apr 14, 2025 Accepting new patients
Nautilus Health Care Group LLC PastSince Apr 14, 2025 Accepting new patients

Locations

749 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 321-8230

749 Stirling Center Pl
Bldg 8
Lake Mary, FL 32746
Phone (407) 321-8230

1075 Town Center Dr
Orange City, FL 32763
Phone (386) 917-0333

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: katherine.smith.p1@direct.ppafl.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1053106567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-917-0333",
            "fax_number": "386-917-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-917-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHERINE",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.