Individual provider Active NPI

Amy Elizabeth Smith, ARNP

  • Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1265530471
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2907782 Issued in FL
Practice address
2500 Veterans Way
Panama City Beach, FL 32408-2437
Phone
(850) 636-9400
Fax
(850) 636-9425
NPI assigned
Sep 20, 2006
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2907782 FL Primary

Addresses

Primary practice location

2500 Veterans Way
Panama City Beach, FL 32408-2437

Mailing address

2500 Veterans Way
Panama City Beach, FL 32408-2437
Phone (850) 636-9400

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
I20180116000831 FL Practitioner - Nurse Practitioner 9436347119 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2907782FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Endocrinology Diabetes Health and Hormones CurrentSince Jun 11, 2021 Accepting new patients
Michael W Reed MD PA Past Accepting new patients
Primary Care Center, P.a. Past Accepting new patients
Primary Care Center of Lynn Haven Past Accepting new patients

Locations

633 E Baldwin Rd
Panama City, FL 32405
Phone (850) 522-5490

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1265530471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 VETERANS WAY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324082437",
            "telephone_number": "850-636-9400",
            "fax_number": "850-636-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 VETERANS WAY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324082437",
            "telephone_number": "850-636-9400",
            "fax_number": "850-636-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-06",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2907782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.