Individual provider Active NPI

Michel M Smith, ARNP

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1417988288
Registry record updated Jun 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2753132 Issued in FL
Practice address
6766 W Sunrise Blvd
101
Plantation, FL 33313
Phone
(954) 584-2900
Fax
(954) 584-0025
NPI assigned
Jul 6, 2006
Last updated
Jun 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2753132 FL Primary

Addresses

Primary practice location

6766 W Sunrise Blvd
101
Plantation, FL 33313

Mailing address

6766 W Sunrise Blvd
101
Plantation, FL 33313
Phone (954) 584-2900

Other identifiers 1

IdentifierTypeStateIssuer
304235900MedicaidFL

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

LicenseStateTypeSpecialty
ARNP2753132FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1417988288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6766 W SUNRISE BLVD",
            "address_2": "101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-584-2900",
            "fax_number": "954-584-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6766 W SUNRISE BLVD",
            "address_2": "101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-584-2900",
            "fax_number": "954-584-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHEL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2753132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304235900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.