Organization Active NPI

Dawn Smith Walsh, Aprn-BC, PLLC

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1063086577
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DAWN SMITH WALSH, APRN-BC, PLLC
Practice address
14910 N Dale Mabry Hwy # 342203
Tampa, FL 33618-1814
Phone
(813) 820-4828
Fax
(813) 820-4977
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Authorized official

Name
Dawn Smith Walsh, APRN, PMHNP-BCNPI 1992030696
Title
Manager/Owner
Phone
(813) 820-4828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14910 N Dale Mabry Hwy # 342203
Tampa, FL 33618-1814

Mailing address

14910 N Dale Mabry Hwy # 342203
Tampa, FL 33618-1814
Phone (813) 820-4828

Other practice location 1

14910 N Dale Mabry Hwy # 342203
Tampa, FL 33618-1814
Phone (813) 838-1740

Other identifiers 2

IdentifierTypeStateIssuer
1992030696OtherFLNPI
113873900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526002493 FL Part B Supplier - Clinic/Group Practice 0446659379 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

14910 N Dale Mabry Hwy
#342203
Tampa, FL 33618
Phone (813) 820-4828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751155200000",
    "number": "1063086577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14910 N DALE MABRY HWY # 342203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181814",
            "telephone_number": "813-820-4828",
            "fax_number": "813-820-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14910 N DALE MABRY HWY # 342203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181814",
            "telephone_number": "813-820-4828",
            "fax_number": "813-820-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14910 N Dale Mabry Hwy # 342203",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336181814",
            "country_code": "US",
            "telephone_number": "813-838-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAWN SMITH WALSH, APRN-BC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "SMITH WALSH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "813-820-4828",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992030696",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113873900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.