Individual provider Active NPI

Marketa Danyalle Smith, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1699208272
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9280656 Issued in FL
Practice address
1 Tampa General Cir
Tampa, FL 33606-3571
Phone
(813) 501-2870
NPI assigned
Apr 10, 2017
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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 Nurse Practitioner 363LP0808X APRN9280656 FL Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 12352 CT

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, OR, CA, CO, DE, ME, CT, IL, PA, NY, NH, MA, RI14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 CenterGroup PAC ID 9931183449, 18 clinicians

Practice addresses (Care Compare)

19965 FM 3175
Camino Real Community Services
Lytle, TX 78052-3481
Phone (210) 357-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9280656FLMDAdult Health Nurse Practitioner
10014860ORMDAdult Health Nurse Practitioner
L8-0010321DEMDPsychiatric/Mental Health Nurse Practitioner
APRN9280656FLMDPsychiatric/Mental Health Nurse Practitioner
209026977ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Feb 8, 2024 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Feb 8, 2024 Accepting new patients
Camino Real Community MHMR Center CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 15, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Nov 15, 2021 Accepting new patients
A Mindful Solution LLC Psychiatric/Mental Health CurrentSince Aug 6, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health, LLC CurrentSince Apr 2, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Nov 15, 2021 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
Farmers Branch, TX 75244
Phone (469) 466-7007

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

Organizations & group practices 10

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1699208272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13817 CARLOW PARK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792149",
            "telephone_number": "813-501-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-501-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARKETA",
        "middle_name": "DANYALLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9280656",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP133426",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "10014860",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP133426",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9280656",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "10014860",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9280656",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP133426",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026977",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405011",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010321",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP133426",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10014860",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9280656",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.