Active NPI
Julie Renee Smith, ARNP-C, DNP
- Family Nurse Practitioner
- Marianna, FL
National Provider Identifier
1053462085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3287492
- Practice address
- 4318 5TH Ave
Marianna, FL 32446-2182 - Phone
- (850) 526-5300
- Fax
- (850) 482-5021
- NPI assigned
- Jan 16, 2007
- Last updated
- Jan 6, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3287492 | FL | Primary |
Addresses
Primary practice location
4318 5TH Ave
Marianna, FL 32446-2182
Mailing address
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y04LA | Other | BLUE CROSS BLUE SHIELD | |
| 307971600 | Medicaid | FL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3287492 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ER Physician Group at Jackson Hospital | Current | Accepting new patients |
Locations
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
4318 5th Ave
Marianna, FL 32446
Phone (850) 209-8831
Interoperability endpoints
- juliesmith@jh.allscriptsdirect.net
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.
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Blountstown, FL
- NPI 1528283777
-
dba Centerwell Home Health
- Home Health Agency
- Marianna, FL
- NPI 1194918854
-
dba Concierge Home Care
- Home Health Agency
- Panama City, FL
- NPI 1598325714
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1053462085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 HOSPITAL DR",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461917",
"telephone_number": "850-526-5300",
"fax_number": "850-482-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 5TH AVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462182",
"telephone_number": "850-526-5300",
"fax_number": "850-482-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JULIE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "ARNP-C, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3287492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y04LA",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307971600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.