Active NPI
Linda Smith
- Case Manager/Care Coordinator
- Fort Pierce, FL
National Provider Identifier
1104174986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2222 Colonial Rd Ste 100
Fort Pierce, FL 34950-5309 - Phone
- (772) 501-5014
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
2222 Colonial Rd Ste 100
Fort Pierce, FL 34950-5309
Mailing address
9 Vista Palm LN Apt 105
Vero Beach, FL 32962-4611
Phone (772) 501-5014
Other practice location 1
9 Vista Palm Ln Apt 105
Vero Beach, FL 32962-4611
Phone (772) 501-5014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1104174986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 VISTA PALM LN APT 105",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624611",
"telephone_number": "772-501-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 COLONIAL RD STE 100",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505309",
"telephone_number": "772-501-5014"
}
],
"practiceLocations": [
{
"address_1": "9 Vista Palm Ln Apt 105",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329624611",
"country_code": "US",
"telephone_number": "772-501-5014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "LINDA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.