Melissa Christine Smithdeal, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11031952 Issued in FL

Practice address

9680 Argyle Forest Blvd Ste 18
Jacksonville, FL 32222-2847

Phone

(360) 713-2440

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1134555022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 MARBLE LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322215580",
            "telephone_number": "360-713-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 ARGYLE FOREST BLVD STE 18",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222847",
            "telephone_number": "360-713-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHDEAL",
        "first_name": "MELISSA",
        "middle_name": "CHRISTINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RN60122531",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11031952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Smith
• William T Smith Jr., MD
• Xujia Annie Song Smith, M.D.
• Zaria Vivian Smith
• Donald L. Smitha, DDS, MDS
• Emily Ryan Smitherman
• Shekia Lynessa Smithgroomes
• Walter Smithwick IV, MD
• Megan Marie Richardson Smoak, PHARMD
• Ashley Marie Smowton

• 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 Apr 24, 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.

Verify at the official NPI Registry.