Active NPI
Emily Rose Smith, APRN
- Adult Health Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9367274
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (321) 434-1401
- Fax
- (321) 434-1667
- NPI assigned
- Jul 14, 2011
- Last updated
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN9367274 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN9367274 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 9367274 | FL |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-1401
Other practice location 1
1350 Hickory St Ste 101
Melbourne, FL 32901-3224
Phone (321) 434-1401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9367274 | Other | FL | AANC |
| NS822 | Other | FL | FL MEDICARE |
| 116224700 | Medicaid | FL |
Other names 1
- Emily Rose Yanick
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9367274 | FL | MD | Adult Health Nurse Practitioner |
| 9367274 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Physician Specialties Inc | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Holmes Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401
1775 W Hibiscus Blvd
Ste 215
Melbourne, FL 32901
Phone (321) 255-9671
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
Interoperability endpoints
- esmith23666@epicdirect.hf.org
Organizations & group practices 5
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
- Orthopaedic Trauma Physician
- Melbourne, FL
- NPI 1336390020
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1518255348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-434-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-1401",
"fax_number": "321-434-1667"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St Ste 101",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1401",
"fax_number": "321-434-1667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "EMILY",
"middle_name": "ROSE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN9367274",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9367274",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9367274",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANC",
"identifier": "9367274",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "NS822",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116224700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "YANICK",
"middle_name": "ROSE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.