Marilyn Ruth Smith, NP-C APRN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

ARNP9176708 Issued in FL

Practice address

6273 Equine Dr
Crestview, FL 32536-4383

Phone

(561) 271-0621

Fax

(850) 331-3233

NPI assigned

Dec 2, 2011

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

State licenses

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1669740866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6273 EQUINE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364383",
            "telephone_number": "561-271-0621",
            "fax_number": "850-331-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6273 EQUINE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364383",
            "telephone_number": "561-271-0621",
            "fax_number": "850-331-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARILYN",
        "middle_name": "RUTH",
        "credential": "NP-C APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9176708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Smidebush, ARNP
• Alexa Smith, RBT
• Denise Anne Smith, M.D., PH.D.
• Jonathan Edward Smith
• Kristina Smith, APRN
• Pamela Smith
• Solaris Counseling Services, LLC
• Barbara Southard
• Southern Psychiatry LLC
• Nancy Diane Yohe Sparagowski

• Advanced Practice Midwife in Crestview, FL
• Providers in Crestview, FL by specialty
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.