Sadie Marie Smith, APRN NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11009087 Issued in FL

Practice address

1040 Lake Sumter LNDG
The Villages, FL 32162-2697

Phone

(352) 218-3211

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sadie Herb Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Dermatology Clinic, LLCGroup PAC ID 3173865045, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Orlando Dermatology Clinic, LLC

  • MOHS-Micrographic Surgery Physician
  • The Villages, FL
  • NPI 1891257655
  Medicare reassignment Care Compare group NPD
• Orlando Dermatology Clinic, LLC

  • Dermatology Physician
  • Fruitland Park, FL
  • NPI 1427670595
  NPD
• Orlando Dermatology Clinic LLC

  • Dermatology Physician
  • Apopka, FL
  • NPI 1346930245
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1366057440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622697",
            "telephone_number": "352-218-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622697",
            "telephone_number": "352-218-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SADIE",
        "middle_name": "MARIE",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "HERB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna M Slattery Genzale, R.D.
• Olivia Rose Sliwa, PA-C
• Allan Smith, PH.D.
• Donald E Smith, HIS
• Felix Smith
• Alain B Smolarski, MD
• Joyce A Smolarski, M.D.
• SNG Labs-SNG Prosthetic Eye Institute, Inc.
• Michelle Thomas Snider, PA-C
• Shelley Leone Snow, PTA

• Family Nurse Practitioner in The Villages, FL
• Providers in The Villages, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.