Patricia Louise Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9182442 Issued in FL

Practice address

7406 Fullerton St Ste 200
Jacksonville, FL 32256-3597

Phone

(904) 538-0440

Fax

(904) 538-0444

NPI assigned

Jun 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Pophealthcare, LLC

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1326617150
  NPD (past)
• Ingenios Health Co.

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1134426919
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1083142111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PINE SHADOW DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327128107",
            "telephone_number": "407-455-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 FULLERTON ST STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563597",
            "telephone_number": "904-538-0440",
            "fax_number": "904-538-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9182442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dianna Smith
• Nicole Elizabeth Smith
• Nina Agnes Smith, ARNP
• Nina Perez Smith, OT
• Pamela Gayle Smith, MA, LMHC, NCC
• Patrick Ian Smith, ARNP
• Patrina Smith
• Paula Kim Smith, CWHNP
• Phillis D Smith
• Reuben Louis Smith, MD

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.