Active NPI
Amanda B Smith, NP
- Nurse Practitioner
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9447525
- Practice address
- 775 Primera Blvd Ste 1031
Lake Mary, FL 32746-2190 - Phone
- (407) 603-1633
- NPI assigned
- Sep 19, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9447525 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9447525 | FL | |
| Nurse Practitioner | 363L00000X | 9447525 | FL | Primary |
Addresses
Primary practice location
775 Primera Blvd Ste 1031
Lake Mary, FL 32746-2190
Mailing address
775 Primera Blvd Ste 1031
Lake Mary, FL 32746-2190
Phone (407) 603-1633
Other practice location 1
525 N Park Ave Ste 218
Winter Park, FL 32789-3227
Phone (407) 720-5119
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12323 W Colonial Dr
Suite 220
Winter Arden, FL 34787-4179
Phone (407) 975-0200
400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 975-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19056 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinecare Associates, LLC | Current | Accepting new patients | |
| The Clearwater Orthopaedic ASC LLC | Past | Accepting new patients | |
| SC Physicians LLC | Past | Accepting new patients | |
| Orlando Neurosurgery, P.a. | Past | Accepting new patients |
Locations
2250 Drew St
Clearwater, FL 33765
Phone (813) 797-7463
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- amandasmith@fsispine.allscriptsdirect.net
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.
-
dba Orlando Neurosurgery
- Neurological Surgery Physician
- Orlando, FL
- NPI 1457735326
-
dba Florida Spine Institute
- Orthopaedic Surgery Physician
- Clearwater, FL
- NPI 1184695694
-
- Neurological Surgery Physician
- Winter Park, FL
- NPI 1609983113
-
- Ambulatory Surgical Clinic/Center
- St Petersburg, FL
- NPI 1346549292
-
dba C MED Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Clearwater, FL
- NPI 1306892609
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba Memorial Hospital Hixson
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
dba Memorial Hospital
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1649672775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 PRIMERA BLVD STE 1031",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462190",
"telephone_number": "407-603-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 PRIMERA BLVD STE 1031",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462190",
"telephone_number": "407-603-1633"
}
],
"practiceLocations": [
{
"address_1": "525 N Park Ave Ste 218",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327893227",
"country_code": "US",
"telephone_number": "407-720-5119",
"fax_number": "407-610-1317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "AMANDA",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9447525",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9447525",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9447525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.