Active NPI
Laura Smith, ARNP
- Family Nurse Practitioner
- Fort Walton Beach, FL
National Provider Identifier
1629422282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9265103
- Practice address
- 514 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4047 - Phone
- (850) 226-8550
- Fax
- (850) 226-6712
- NPI assigned
- Apr 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9265103 | FL | Primary |
Addresses
Primary practice location
514 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4047
Mailing address
514 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4047
Phone (850) 226-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9265103 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage Services, PC | Current | Accepting new patients |
Locations
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1629422282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 MARY ESTHER CUT OFF NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484047",
"telephone_number": "850-226-8550",
"fax_number": "850-226-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 MARY ESTHER CUT OFF NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484047",
"telephone_number": "850-226-8550",
"fax_number": "850-226-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LAURA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9265103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.