Individual provider Active NPI

Adelaide Chloe Smith, NP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1174927370
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9298984 Issued in FL
Practice address
7652 Ashley Park CT
Suite Number 305
Orlando, FL 32835-6199
Phone
(407) 299-7333
Fax
(407) 293-2049
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9298984 FL Primary

Addresses

Primary practice location

7652 Ashley Park CT
Suite Number 305
Orlando, FL 32835-6199

Mailing address

7652 Ashley Park CT
Suite Number 305
Orlando, FL 32835-6199
Phone (407) 299-7333

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
I20150107000984 FL Practitioner - Nurse Practitioner 2062735657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Dermatology Associates P aGroup PAC ID 9436248440, 4 clinicians

Practice addresses (Care Compare)

700 E Michigan St
Orlando, FL 32806-4624
Phone (407) 481-2620

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9298984FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Dermatology Associates P a CurrentSince May 24, 2022 Accepting new patients
Mid-Florida Dermatology Associates P.a. CurrentSince Nov 1, 2014 Accepting new patients

Locations

700 E Michigan St
Orlando, FL 32806
Phone (407) 481-2620

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1174927370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT",
            "address_2": "SUITE NUMBER 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT",
            "address_2": "SUITE NUMBER 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADELAIDE",
        "middle_name": "CHLOE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9298984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.