Individual provider Active NPI

Memory Smith, NP

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1386168433
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9466258 Issued in FL
Practice address
5741 Bee Ridge Rd Ste 400
Sarasota, FL 34233-5062
Phone
(941) 951-2663
NPI assigned
Jul 31, 2017
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9466258 FL Primary
Family Nurse Practitioner 363LF0000X 902081 MS
Family Nurse Practitioner 363LF0000X 9466258 FL

Addresses

Primary practice location

5741 Bee Ridge Rd Ste 400
Sarasota, FL 34233-5062

Mailing address

5741 Bee Ridge Rd Ste 400
Sarasota, FL 34233-5062
Phone (941) 951-2663

Other practice location 1

8340 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5180
Phone (941) 792-1404

Other practice location 2

5504 Pinebrook Rd Ste 201
Nokomis, FL 34275-3745
Phone (941) 951-2663

Other practice location 3

6202 17th Ave W
Bradenton, FL 34209-7838
Phone (941) 792-1404

Other practice location 4

5985 Silver Falls Run
Lakewood Ranch, FL 34211-1290
Phone (941) 951-2663

Other identifiers 1

IdentifierTypeStateIssuer
9466258OtherFLLICENSE

Other names 1

  • Memory Smith Former name

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
I20180511001261 FL Practitioner - Nurse Practitioner 7517221914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Senior CareGroup PAC ID 7911328273, 8 clinicians
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

4112 53Rd Ave E
Suite 20478
Bradenton, FL 34203-5512
Phone (800) 605-3182

5741 Bee Ridge Rd
Suite 450
Sarasota, FL 34233-5081
Phone (941) 951-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.36 of 100Reported as group
Quality
43.71
Promoting interoperability
0
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9466258FLMDNurse Practitioner
9466258FLMDFamily Nurse Practitioner
902081MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Mar 1, 2024 Accepting new patients
Manatee Senior Care CurrentSince May 6, 2022 Accepting new patients
Ortho Florida, LLC CurrentSince Mar 1, 2024 Accepting new patients
Sarasota Orthopedic Associates LLC Past Accepting new patients
Ortho Florida, LLC PastSince Apr 17, 2022 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

5504 Pinebrook Rd
Ste 201
Nokomis, FL 34275
Phone (941) 552-3318

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

2970 University Pkwy
Ste 105
Sarasota, FL 34243
Phone (941) 360-1988

5741 Bee Ridge Rd
Ste 400
Sarasota, FL 34233
Phone (941) 371-6565

5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1386168433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 400",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335062",
            "telephone_number": "941-951-2663",
            "fax_number": "941-552-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 400",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335062",
            "telephone_number": "941-951-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Lakewood Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025180",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5504 Pinebrook Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Nokomis",
            "state": "FL",
            "postal_code": "342753745",
            "country_code": "US",
            "telephone_number": "941-951-2663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6202 17th Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342097838",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5985 Silver Falls Run",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342111290",
            "country_code": "US",
            "telephone_number": "941-951-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEMORY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9466258",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9466258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "9466258",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEMORY",
            "last_name": "SMITH",
            "credential": "MEMORY HUTTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.