Individual provider Active NPI

Vicky Arlene Smith, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1336798412
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN11003944 Issued in FL
Practice address
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone
(888) 731-8994
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN11003944 FL Primary

Addresses

Primary practice location

111 N Orange Ave Ste 800
Orlando, FL 32801-2381

Mailing address

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 1

1061 Medical Center Dr Ste 102
Orange City, FL 32763-8225
Phone (386) 456-3852

Other practice location 2

1507 Bill Beck Blvd # 1501
Kissimmee, FL 34744-9516
Phone (407) 943-8600

Other practice location 3

109 N Doverplum Ave
Kissimmee, FL 34758-3309
Phone (407) 943-8600

Other identifiers 1

IdentifierTypeStateIssuer
115999200MedicaidFL

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
I20200207000912 FL Practitioner - Nurse Practitioner 8325474455 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11003944FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Medical Services of Poinciana Inc CurrentSince Dec 12, 2022 Accepting new patients
Primary Care Medical Services of Poinciana Inc CurrentSince Dec 12, 2022 Accepting new patients
Primary Care Medical Services of Poinciana Inc Past Accepting new patients

Locations

1507 Bill Beck Blvd
Kissimmee, FL 34744
Phone (407) 943-8618

1501 Bill Beck Blvd
Kissimmee, FL 34744

1507 Bill Beck Blvd
#1501
Kissimmee, FL 34744

1503 Bill Beck Blvd
Kissimmee, FL 34744
Phone (407) 943-8618

109 N Doverplum Ave
Kissimmee, FL 34758
Phone (407) 943-8677

1877 Fortune Rd
Kissimmee, FL 34744
Phone (407) 943-8618

Interoperability endpoints

  • Direct secure messaging: vicky.smith.1@26532.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1336798412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Medical Center Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638225",
            "country_code": "US",
            "telephone_number": "386-456-3852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1507 Bill Beck Blvd # 1501",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347449516",
            "country_code": "US",
            "telephone_number": "407-943-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Doverplum Ave",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347583309",
            "country_code": "US",
            "telephone_number": "407-943-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VICKY",
        "middle_name": "ARLENE",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11003944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115999200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.