Marketa Danyalle Smith, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tampa, FL
NPI 1699208272 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1699208272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN9280656 (FL)
- Practice address
- 1 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 501-2870
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Camino Real Community MHMR Center
Practice addresses (Care Compare)
19965 FM 3175
Camino Real Community Services
Lytle, TX 78052-3481
Phone (210) 357-0300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (14 enrollments) in FL, TX, OR, CA, CO, DE, ME, CT, IL, PA, NY, NH, MA, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212000780 | FL | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 1 organization |
| I20211216002889 | TX | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 3 organizations |
| I20240321002223 | OR | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 2 organizations |
| I20240321002714 | CA | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 1 organization |
| I20240321004076 | CO | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 2 organizations |
| I20240506004842 | DE | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 2 organizations |
| I20240513001995 | ME | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 1 organization |
| I20240625000640 | CT | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 2 organizations |
| I20240927001548 | IL | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 2 organizations |
| I20240927001607 | PA | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 1 organization |
| I20250305000872 | NY | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 1 organization |
| I20250305001155 | NH | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 1 organization |
| I20250313001715 | MA | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 1 organization |
| I20260413003545 | RI | Practitioner - Nurse Practitioner | 0648514000 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12352 | CT | MD | Physical Therapist |
| AP133426 | TX | MD | Acute Care Nurse Practitioner |
| ARNP9280656 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| A Mindful Solution LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Signify Health Medical Associates of California, PC | Current |
Accepting new patients | |
| Signify Health Medical Associates of Colorado, PLLC. | Current |
Accepting new patients | |
| Camino Real Community MHMR Center | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients |
Locations
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
6 City Ctr
Portland, ME 04101
170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320
19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | ARNP9280656 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | AP133426 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 10014860 | OR | |
| Adult Health Nurse Practitioner | 363LA2200X | AP133426 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9280656 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 10014860 | OR | |
| Gerontology Nurse Practitioner | 363LG0600X | ARNP9280656 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | AP133426 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209026977 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405011 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010321 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP133426 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10014860 | OR | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 12352 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9280656 | FL | Yes |
Addresses
Primary practice location
1 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
13817 Carlow Park Dr
Riverview, FL 33579-2149
Phone (813) 501-2870
Other providers in Tampa, FL
- Lauryn-Maggie Arenee Smith
- Linda Crow Smith
- Lisa B Smith
- Logan Riley Smith
- Mark Anthony Smith
- Matthew Smith
- Maureen Kathleen Smith
- Maximus Smith
- Megan Smith
- Megan Smith
All providers in Tampa, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.