Lisa A Smith, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9337278 Issued in FL

Practice address

509 SE Riverside Dr
Suite 203
Stuart, FL 34994-2579

Phone

(772) 286-5007

Fax

(772) 286-0018

NPI assigned

Aug 5, 2006

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Coastal Care Corporation

  dba Cleveland Clinic Imaging

  • Radiology Clinic/Center
  • Port St Lucie, FL
  • NPI 1558320556
  NPD (past)
• Strand Regional Specialty

  • Multi-Specialty Clinic/Center
  • Murrells Inlet, SC
  • NPI 1023052354
  NPD (past)
• Strand Regional Specialty

  • Multi-Specialty Clinic/Center
  • Little River, SC
  • NPI 1225055288
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1215946959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR",
            "address_2": "SUITE 203",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579",
            "telephone_number": "772-286-5007",
            "fax_number": "772-286-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9337278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004774800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y0A9C",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsmith26429@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "509 SE Riverside Dr",
            "address_2": "Suite 203",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keiavonnie Latoya Smith
• Kierra Smith
• Kim M Smith
• Leanne Susan Smith, PHD LMHC
• Leslie Ann Smith
• Lousinda Marie Smith
• Madison Smith
• Mechele Lee Smith, ARNP
• Megan Ann Smith
• Michaela Smith, MPH, RD

• Nurse Practitioner in Stuart, FL
• Providers in Stuart, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.