Individual provider Active NPI

Lawrence J Smith, APRN-C, DC

  • Adult Health Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1336245067
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11022437 Issued in FL
Practice address
32815 US Highway 19 N Ste 200
Palm Harbor, FL 34684-3145
Phone
(702) 285-1190
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B00852 NV
Nurse Practitioner 363L00000X APRN002152 NV
Adult Health Nurse Practitioner 363LA2200X APRN11022437 FL Primary

Addresses

Primary practice location

32815 US Highway 19 N Ste 200
Palm Harbor, FL 34684-3145

Mailing address

32815 US Highway 19 N Ste 200
Palm Harbor, FL 34684-3145
Phone (702) 285-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, 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

Enrollment IDStateProvider typePAC IDDetails
I20160502002254 NV Practitioner - Nurse Practitioner 0446237051
I20221101000060 FL Practitioner - Nurse Practitioner 0446237051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Spine and Sports Medicine LLCGroup PAC ID 9032528740, 2 clinicians

Practice addresses (Care Compare)

32815 US Hwy 19 N
Suite 200
Palm Harbor, FL 34684-3145
Phone (727) 412-8503

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7019AZMDOrthodontics and Dentofacial Orthopedic Dentist
APRN002152NVMDNurse Practitioner
APRN11022437FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Primary Care Inc. CurrentSince Nov 5, 2015 Accepting new patients
Tampa Bay Spine & Sports Medicine LLC CurrentSince Oct 18, 2022 Accepting new patients

Locations

32815 US Highway 19 N
Ste 200
Palm Harbor, FL 34684
Phone (727) 412-8503

32815 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 945-9198

1252 Wyoming St
Ste 200
Boulder City, NV 89005
Phone (702) 293-4488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1336245067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32815 US HIGHWAY 19 N STE 200",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843145",
            "telephone_number": "702-285-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32815 US HIGHWAY 19 N STE 200",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843145",
            "telephone_number": "702-285-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "APRN-C, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00852",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002152",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11022437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.