Individual provider Active NPI

Amanda Smith, A.R.N.P.

  • Family Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1346648409
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9218887 Issued in FL
Practice address
7647 W Gulf to Lake Hwy Ste 6
Crystal River, FL 34429-7800
Phone
(352) 795-1718
NPI assigned
Dec 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9218887 FL Primary

Addresses

Primary practice location

7647 W Gulf to Lake Hwy Ste 6
Crystal River, FL 34429-7800

Mailing address

7647 W Gulf to Lake Hwy Ste 6
Crystal River, FL 34429-7800
Phone (352) 795-1718

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
I20201125001470 FL Order and Referring Only - Nurse Practitioner 9830500735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9218887FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Associates P a Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: olga.savage@floridafamilyhealth.ssdirect.aprima.com

Organizations & group practices 1

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": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1346648409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7647 W GULF TO LAKE HWY STE 6",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297800",
            "telephone_number": "352-795-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7647 W GULF TO LAKE HWY STE 6",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297800",
            "telephone_number": "352-795-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9218887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.