Individual provider Active NPI

Cynthia Suzanne Bruns-Smit, ARNP

  • Family Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1689880130
Registry record updated May 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1508412 Issued in FL
Practice address
7575 Osceola Polk Line Rd
Davenport, FL 33896-9112
Phone
(321) 677-0531
NPI assigned
May 14, 2007
Last updated
May 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1508412 FL Primary

Addresses

Primary practice location

7575 Osceola Polk Line Rd
Davenport, FL 33896-9112

Mailing address

7224 Lake Enderly Dr
Bartow, FL 33830-9008
Phone (863) 557-4858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1508412FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health Past Accepting new patients
Florida Department of Health PastSince Oct 1, 2000 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494028800000",
    "number": "1689880130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 LAKE ENDERLY DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338309008",
            "telephone_number": "863-557-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 OSCEOLA POLK LINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338969112",
            "telephone_number": "321-677-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS-SMIT",
        "first_name": "CYNTHIA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1508412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.