Caitlin Jane Smith, DNP, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11022699 Issued in FL

Practice address

5111 S Ridgewood Ave Ste 301
Port Orange, FL 32127-5170

Phone

(386) 304-7070

Fax

(386) 304-7050

NPI assigned

Nov 17, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1427767599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 S RIDGEWOOD AVE STE 301",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275170",
            "telephone_number": "386-304-7070",
            "fax_number": "386-304-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 S RIDGEWOOD AVE STE 301",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275170",
            "telephone_number": "386-304-7070",
            "fax_number": "386-304-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAITLIN",
        "middle_name": "JANE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11022699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Holly Anne Smith
• Madison Kaye Smith

• Nurse Practitioner in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.