Individual provider Active NPI

Tyneal Smith, FNP

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1174402846
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11041917 Issued in FL
Practice address
1555 N Palafox St
Pensacola, FL 32501-2134
Phone
(850) 512-3482
Fax
(855) 767-3685
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11041917 FL Primary

Addresses

Primary practice location

1555 N Palafox St
Pensacola, FL 32501-2134

Mailing address

1555 N Palafox St
Pensacola, FL 32501-2134
Phone (850) 512-3482

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251001001670 FL Practitioner - Nurse Practitioner 0345746194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Oak Neurosurgical Associates, PLLCGroup PAC ID 8426324369, 5 clinicians

Practice addresses (Care Compare)

1555 N Palafox St
Pensacola, FL 32501-2134
Phone (850) 512-3482

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11041917FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Live Oak Neurosurgical Associates PLLC CurrentSince Aug 21, 2025 Accepting new patients
Hospice of the Emerald Coast, Inc. PastSince Aug 21, 2025 Accepting new patients

Locations

8333 N Davis Hwy
Fl 10
Pensacola, FL 32514
Phone (850) 437-3777

1555 N Palafox St
Pensacola, FL 32501
Phone (850) 438-2201

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIIBD/Endpoint/HJIIBD

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1174402846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012134",
            "telephone_number": "850-512-3482",
            "fax_number": "855-767-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012134",
            "telephone_number": "850-512-3482",
            "fax_number": "855-767-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYNEAL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11041917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.