Active NPI
Olivia Ann Smerdon
- Behavior Technician
- Ponte Vedra Beach, FL
National Provider Identifier
1366237992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833 - Phone
- (904) 206-8804
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Behavior Technician | 106S00000X | RBT-25-439379 | FL |
Addresses
Primary practice location
130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833
Mailing address
41 Ponte Vedra Colony Cir
Ponte Vedra, FL 32082-2716
Phone (386) 289-7419
Other practice location 1
41 Ponte Vedra Colony Cir
Ponte Vedra, FL 32082-2716
Phone (386) 289-7419
Other practice location 2
7775 Baymeadows Way Ste 200
Jacksonville, FL 32256-7531
Phone (410) 910-3589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-439379 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1366237992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PONTE VEDRA COLONY CIR",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320822716",
"telephone_number": "386-289-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CORRIDOR RD UNIT 3292",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320047833",
"telephone_number": "904-206-8804"
}
],
"practiceLocations": [
{
"address_1": "41 Ponte Vedra Colony Cir",
"address_purpose": "LOCATION",
"city": "Ponte Vedra",
"state": "FL",
"postal_code": "320822716",
"country_code": "US",
"telephone_number": "386-289-7419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7775 Baymeadows Way Ste 200",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322567531",
"country_code": "US",
"telephone_number": "410-910-3589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMERDON",
"first_name": "OLIVIA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-14",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-25-439379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
- Sleep Doctor Medical Group of Kansas, P.a.
- Sleep Doctor Medical Group of New Jersey, P.C.
- Sleep Doctor Medical Group of Oregon, P.C.
- Sleep Doctor Medical Group PA
- Sleep Medicine Ny Practice, P.C.
- Amber Leigh Smith
- Cynthia Smith, M.A, CCC-SLP
- Eryn Doppke Smith, FNP- C
- Jeanette Goates Smith, L.M.F.T.
- Robert Gregory Smith, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.