Jacqueline Smith, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11009935 Issued in FL

Practice address

23165 Foreside Ave
Brooksville, FL 34601-5127

Phone

(352) 848-5288

NPI assigned

Jan 13, 2021

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ariel HealthGroup PAC ID 7416341698, 3 clinicians

NP Health of FL LLCGroup PAC ID 2365867165, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ariel Health

  • Family Nurse Practitioner
  • Tarpon Springs, FL
  • NPI 1477223568
  Medicare reassignment Care Compare group NPD
• NP Health of FL LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1790393874

  FL

  Medicare reassignment Care Compare group NPD
• Monarch Healthcare Associates, LLC

  • Primary Care Nurse Practitioner
  • Tarpon Springs, FL
  • NPI 1144962317
  NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1144819137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23165 FORESIDE AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346015127",
            "telephone_number": "352-848-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23165 FORESIDE AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346015127",
            "telephone_number": "352-848-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Slater, RD
• Bettina Smith
• Edward Scott Smith, ARNP NP-C
• Gregory Thomas Smith, DO
• India Smith, RBT
• Lorelle J Smith, ARNP
• Robin Lynn Smith, CPHT
• Sheila Soares, NP-C
• Solace Behavioral Health Psychiatric & Substance Abuse Iop
• Solace Behavioral Health, LLC

• Family Nurse Practitioner in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.