Brandi Smith, NP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11013090 Issued in FL

Practice address

13365 Overseas Hwy Ste 102
Marathon, FL 33050-3513

Phone

(305) 294-0011

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

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.

• Bruce L Boros MD PA

  • Specialist
  • Key West, FL
  • NPI 1659443976
  Medicare reassignment NPD
• Lakeland Community Hospital Watervliet

  • Rural Health Clinic/Center
  • Hartford, MI
  • NPI 1023114741
  Medicare reassignment NPD
• Bruce L Boros MD PA

  • Urgent Care Clinic/Center
  • Key Largo, FL
  • NPI 1255847430
  NPD
• Bruce L Boros MD PA

  • Internal Medicine Physician
  • Key Largo, FL
  • NPI 1851073514
  NPD
• Lakeland Community Hospital Watervliet

  • Rural Health Clinic/Center
  • Dowagiac, MI
  • NPI 1184467607
  NPD
• Lakeland Community Hospital Watervliet

  • Rural Health Clinic/Center
  • Niles, MI
  • NPI 1538592753
  NPD
• Florida Keys Area Health Education Center, Inc.

  • General Practice Physician
  • Marathon, FL
  • NPI 1104225663
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1265898878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13365 OVERSEAS HWY APT 201",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503513",
            "telephone_number": "305-294-0011",
            "fax_number": "305-743-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13365 OVERSEAS HWY STE 102",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503513",
            "telephone_number": "305-294-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704216827",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11013090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4704216827",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA APRN LICENSE",
            "identifier": "11013090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa A Sibley, RN
• Belkis M Silva
• Brandi Suzanne Simpson, L.M.T.
• Sleep Life Center, LLC
• Ashley A Smith
• Donald C Smith Jr., PHARM D
• Melanie Lyne Smith
• Scott W. Smith, D.O.
• Steven Jay Smith, MD
• David B Sobol, RN

• Acute Care Nurse Practitioner in Marathon, FL
• Providers in Marathon, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.