Active NPI
Bridgette Smith, NP
- Family Nurse Practitioner
- Marianna, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11016694
- Practice address
- 4719 Highway 90
Marianna, FL 32446-7839 - Phone
- (850) 526-3314
- Fax
- (850) 526-5022
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11016694 | FL | Primary |
Addresses
Primary practice location
4719 Highway 90
Marianna, FL 32446-7839
Mailing address
4719 Highway 90
Marianna, FL 32446-7839
Phone (850) 526-3314
Other practice location 1
951 Prim Ave Ste 20
Graceville, FL 32440-2500
Phone (850) 360-4000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4719 Hwy 90
Marianna, FL 32446-7839
Phone (850) 526-3314
Hospital & facility affiliations
- Jackson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016694 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremed Clinic LLC | Family | Current | Accepting new patients |
| Caremed Urgent Care LLC | Family | Current | Accepting new patients |
Locations
951 Prim Ave
Ste 20
Graceville, FL 32440
Phone (850) 360-4000
4719 Highway 90
Marianna, FL 32446
Phone (850) 526-3314
7301 West Blvd
Ste A1
Youngstown, OH 44512
Interoperability endpoints
- bridgette.smith.1@20680.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Obesity Medicine (Internal Medicine) Physician
- Marianna, FL
- NPI 1982346326
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1194477265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 HIGHWAY 90",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324467839",
"telephone_number": "850-526-3314",
"fax_number": "850-526-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4719 HIGHWAY 90",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324467839",
"telephone_number": "850-526-3314",
"fax_number": "850-526-5022"
}
],
"practiceLocations": [
{
"address_1": "951 Prim Ave Ste 20",
"address_purpose": "LOCATION",
"city": "Graceville",
"state": "FL",
"postal_code": "324402500",
"country_code": "US",
"telephone_number": "850-360-4000",
"fax_number": "850-759-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BRIDGETTE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11016694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.