Candace Smith, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9260335 Issued in FL

Practice address

2513 Otter Totem CT
Saint Augustine, FL 32092-2445

Phone

(904) 687-8289

NPI assigned

Mar 28, 2014

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1457779316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 OTTER TOTEM CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922445",
            "telephone_number": "904-687-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 OTTER TOTEM CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922445",
            "telephone_number": "904-687-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANDACE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2022-01-17",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9260335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile So Big Flagler PLLC
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• Irving Hadden Smith III III, RRT
• Amy Smith
• Bethany Smith
• Courtland K Smith, LMT
• Courtney Anne Smith, M.S. CCC-SLP
• Dillon Smith, OD
• Gordana Smith
• Jessica Leigh Smith

• Family Nurse Practitioner in Saint Augustine, FL
• Providers in Saint Augustine, 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 Jan 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.