Individual provider Active NPI

Christine F Smiley, DO

  • Family Medicine Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1356358402
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS12341 Issued in FL
Practice address
43 Cassine Way Ste 102
Santa Rosa Beach, FL 32459-0457
Phone
(850) 231-1919
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS12341 FL Primary

Addresses

Primary practice location

43 Cassine Way Ste 102
Santa Rosa Beach, FL 32459-0457

Mailing address

43 Cassine Way Ste 102
Santa Rosa Beach, FL 32459-0457
Phone (850) 231-1919

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131122001715 FL Practitioner - Family PracticePractitioner - Emergency Medicine 0648272104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

43 Cassine Way
Suite 102
Santa Rosa Beach, FL 32459-0456
Phone (303) 478-7657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Doc Smiley'S Urgent Care LLC CurrentSince Oct 1, 2014 Accepting new patients
Quantum Plus LLC Past Accepting new patients

Locations

43 Cassine Way
Ste 102
Santa Rsa Bch, FL 32459
Phone (303) 478-7657

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1356358402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CASSINE WAY STE 102",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590457",
            "telephone_number": "850-231-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CASSINE WAY STE 102",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590457",
            "telephone_number": "850-231-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "CHRISTINE",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.