Ava Ruth Smith, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP2677182 Issued in FL

Practice address

1842 Hickman Rd
Jacksonville, FL 32216-4443

Phone

(904) 725-6300

Fax

(904) 725-5447

NPI assigned

Oct 17, 2007

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

Other names 1

• Ms. Ava Ruth Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: smitha@goshenmedical.cloudcraftdirect.com

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.

• Clinic for Pulmonary and Infectious Diseases PA

  • Pulmonary Disease Physician
  • Jacksonville, FL
  • NPI 1558430736
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1083803845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 HICKMAN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164443",
            "telephone_number": "904-725-6300",
            "fax_number": "904-725-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 HICKMAN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164443",
            "telephone_number": "904-725-6300",
            "fax_number": "904-725-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AVA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2677182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "ROBINSON",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arnold Graham Smith, MD
• Ashley Smith
• Ashley Smith
• Ashley Purwin Smith, FNP-C
• Ashlynn Nicole Smith
• Ayanna Allison Veronica Smith, APRN
• Blaine Daniel Smith, MD
• Brenna Chelline Smith, CRNA
• Brenna Michelle Smith, PHARM.D.
• Brett Harrison Smith, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.