Elizabeth Darlene Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9321441 Issued in FL

Practice address

2590 Northbrooke Plaza Dr Ste 106
Naples, FL 34119-8100

Phone

(239) 350-4900

Fax

(833) 902-3605

NPI assigned

Aug 4, 2008

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: elizabeth.smith@605963270750212.direct.elationemr.com

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

• Integrative Direct Primary Care, Inc

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1366014086
  Authorized official Same address or phone

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1518123173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 NORTHBROOKE PLAZA DR STE 106",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198100",
            "telephone_number": "239-350-4900",
            "fax_number": "833-902-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 NORTHBROOKE PLAZA DR STE 106",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198100",
            "telephone_number": "239-350-4900",
            "fax_number": "833-902-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "DARLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN307089",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9321441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2884811",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518123173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian M Smith, M.D.
• Chloe Smith
• Cody Smith
• Courtney Smith, PA
• David M Smith, PSYD
• Francisco Alberto Smith, M.D.
• Heidi G Smith, P.T.A
• Jaclyn Arielle Smith, M.D.
• Jennifer Smith, NMP, CHN, FBCC, BHC
• Julia M. E. Smith, LMT

• Family Nurse Practitioner in Naples, FL
• Providers in Naples, 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 Dec 10, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.