Rachel Effolia Smith, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 3137612 Issued in FL

Practice address

VA Outpatient Clinic
2900 Veterans Way
Viera, FL 32940

Phone

(321) 637-3788

Fax

(321) 637-3507

NPI assigned

Jan 30, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Whyte'S Wellness Consults, PLLC

  • Family Medicine Physician
  • Rockledge, FL
  • NPI 1164003810

  FL

  Medicare reassignment NPD
• Altamonte Primary Care, Inc

  • Family Medicine Physician
  • Apopka, FL
  • NPI 1083774178
  NPD (past)
• The Healthcaring Clinic of Florida, LLC

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1003914441

  Family

  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1497726319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 EMERSON DR NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077897",
            "telephone_number": "321-952-4914",
            "fax_number": "321-727-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA OUTPATIENT CLINIC",
            "address_2": "2900 VETERANS WAY",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-637-3788",
            "fax_number": "321-637-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "EFFOLIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 3137612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Samons Simpkins, ARNP-C
• Tracy Ann Smith-Thibert, LCSW
• Emily R Smith
• Geri Danielle Smith
• Jodi E Smith
• Yale R Smith, MD
• Sonus-USA, Inc.
• Brandi Dawn Sosa
• Space Coast Endodontics, PLLC
• Space Coast Lymphedema Clinic LLC

• All providers in Viera, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.