Nicole Smith, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11008747 Issued in FL

Practice address

3730 7TH Ter Ste 101
Vero Beach, FL 32960-6556

Phone

(772) 581-0528

NPI assigned

Aug 27, 2020

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Nicole Guettler Former name

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": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1477166627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 7TH TER STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606556",
            "telephone_number": "772-581-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN110649200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110649200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GUETTLER",
            "prefix": "MISS",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly L Smith
• Kris Edward Smith, O.D.
• Lori Smith, PHARMD
• Mariah Smith
• Michele Diane Smith, M.A. LMHC
• Stacy P Smith, C-PA
• William Franklin Smith Jr., NBC-HIS
• Michelle Smykowski, OTR/L
• Molly M Snell, PHD
• Nicholas George Snyder, DC, DIBCN

• Nurse Practitioner in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.