Individual provider Active NPI

Youn Sun C Smith, ARNP

  • Family Nurse Practitioner
  • Ruskin, FL
National Provider Identifier
1356339394
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9183785 Issued in FL
Practice address
948 Cypress Village Blvd Ste a
Ruskin, FL 33573-6841
Phone
(813) 633-3002
Fax
(813) 633-6392
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9183785 FL
Family Nurse Practitioner 363LF0000X ARNP9183785 FL Primary

Addresses

Primary practice location

948 Cypress Village Blvd Ste a
Ruskin, FL 33573-6841

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

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
I20041201000990 FL Practitioner - Nurse Practitioner 8426014432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

515 S Kings Ave
Suite 2000
Brandon, FL 33511-5921
Phone (813) 685-0232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9183785FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC CurrentSince Dec 17, 2013 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Jun 27, 2018 Accepting new patients

Locations

515 S Kings Ave
Ste 2000
Brandon, FL 33511
Phone (813) 685-0232

946 Cypress Village Blvd
Ste B
Ruskin, FL 33573
Phone (813) 633-3002

948 Cypress Village Blvd
Ste A
Sun City Center, FL 33573
Phone (813) 633-3002

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

4202 N Habana Ave
Tampa, FL 33607
Phone (727) 329-5400

4602 N Armenia Ave
Ste 300
Tampa, FL 33603
Phone (813) 878-2211

Interoperability endpoints

  • Direct secure messaging: younsun.smith@wcfnf.eclinicaldirectplus.com

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1356339394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 CYPRESS VILLAGE BLVD STE A",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736841",
            "telephone_number": "813-633-3002",
            "fax_number": "813-633-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "YOUN SUN",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9183785",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9183785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

Verify at the official NPI Registry.