Active NPI
Heather Leanne Smith, APRN
- Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11019694
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- AdventHealth Palm Coast
- Adventhealth Palm Coast Parkway
- Adventhealth Daytona Beach
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.99 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9314399 | FL | MD | Registered Nurse |
| 11019694 | FL | MD | Family Nurse Practitioner |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Technology Network Inc | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Excellence Health, LLC | Current | 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
- hsmith1712451@adventhealth.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
FL
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
Hospital
-
- Home Health Agency
- Daytona Beach, FL
- NPI 1194775395
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.