Gordana Smith

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

3712 Issued in FL

Practice address

150 Kent Rd Ste 2a
St Augustine, FL 32086-6485

Phone

(904) 238-1000

NPI assigned

Apr 12, 2016

Last updated

Apr 12, 2016By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Rises Acupuncture

  • Acupuncturist
  • St Augustine, FL
  • NPI 1326494006
  NPD (past) Authorized official

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1184088510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5287 CYPRESS LINKS BLVD",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320334044",
            "telephone_number": "904-238-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENT RD STE 2A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866485",
            "telephone_number": "904-238-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GORDANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3712",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "53210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Smith
• Candace Smith, ARNP
• Courtland K Smith, LMT
• Courtney Anne Smith, M.S. CCC-SLP
• Dillon Smith, OD
• Jessica Leigh Smith
• Kari Ann Smith, M.D.
• Keeley Smith
• Laquita Smith
• Nicole Christina Smith, APRN-CNM

• Acupuncturist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.