Individual provider Active NPI

Rhonda Renee Smith, NNP

  • Neonatal Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1336335363
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
AP04903 Issued in LA
Practice address
1301 Concord Terrace
Sunrise, FL 33323
Phone
(800) 243-3839
NPI assigned
Sep 24, 2007
Last updated
Oct 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X AP04903 LA Primary
Registered Nurse 163W00000X RN099317 LA

Addresses

Primary practice location

1301 Concord Terrace
Sunrise, FL 33323

Mailing address

107 Topeka Rd
Scott, LA 70583
Phone (337) 873-9275

Other names 1

  • Mrs. Rhonda Renee Eberhart Former name

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
I20221126000001 FL Practitioner - Nurse Practitioner 9234507195 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN099317LAMDRegistered Nurse
AP04903LAMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Neonatology, Inc. CurrentSince Aug 24, 2022 Accepting new patients
All Children's OB/GYN Specialists CurrentSince Aug 24, 2022 Accepting new patients

Locations

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

5959 Central Ave
Ste 103
St Petersburg, FL 33710
Phone (727) 344-6060

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, 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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1336335363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TOPEKA RD",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "70583",
            "telephone_number": "337-873-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TERRACE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "800-243-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RHONDA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "LA",
            "license": "AP04903",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN099317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "EBERHART",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "NNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.