Individual provider Active NPI

Heather Leanne Smith, APRN

  • Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1225775729
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11019694 Issued in FL
Practice address
1630 Mason Ave
Daytona Beach, FL 32117-4500
Phone
(386) 238-9064
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019694 FL
Registered Nurse 163W00000X 9314399 FL
Nurse Practitioner 363L00000X APRN11019694 FL Primary

Addresses

Primary practice location

1630 Mason Ave
Daytona Beach, FL 32117-4500

Mailing address

69 Whispering Pine Dr
Palm Coast, FL 32164-7294
Phone (386) 871-4491

Other practice location 1

53 Islander Ct
Saint Augustine, FL 32080-6032
Phone (386) 871-4491

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
I20220621001406 FL Practitioner - Nurse Practitioner 3274912381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Healthcare Partners, Inc 621 clinicians

Practice addresses (Care Compare)

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

Hospital & facility affiliations

  • Halifax Health Care at Home Home health agency, Port Orange, FL, CCN 108359
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9314399FLMDRegistered Nurse
11019694FLMDFamily Nurse Practitioner

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Wound Technology Network Inc CurrentSince Aug 12, 2024 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jan 28, 2025 Accepting new patients
Excellence Health, LLC CurrentSince Jun 10, 2022 Accepting new patients

Locations

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

1630 Mason Ave
Daytona Beach, FL 32117
Phone (386) 274-5252

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hsmith1712451@adventhealth.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 5

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225775729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WHISPERING PINE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647294",
            "telephone_number": "386-871-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174500",
            "telephone_number": "386-238-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Islander Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320806032",
            "country_code": "US",
            "telephone_number": "386-871-4491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "LEANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019694",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9314399",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11019694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.