Individual provider Active NPI

Rebekah Smith

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1710387899
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9464753 Issued in FL
Practice address
16750 NE 10TH Ave Apt 303
North Miami Beach, FL 33162-2674
Phone
(855) 961-1942
NPI assigned
Aug 26, 2014
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 ARNP9464753 FL Primary

Addresses

Primary practice location

16750 NE 10TH Ave Apt 303
North Miami Beach, FL 33162-2674

Mailing address

1200 S Pine Island Rd FL 33324
Plantation, FL 33324-4413
Phone (855) 961-1942

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320001322 FL Practitioner - Nurse Practitioner 4183941388 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9464753FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camillus Health Concern, Inc. CurrentSince Sep 17, 2018 Accepting new patients
Camillus Health Concern Inc CurrentSince Sep 17, 2018 Accepting new patients

Locations

336 NW 5th St
Miami, FL 33128
Phone (305) 477-4840

Interoperability endpoints

  • Direct secure messaging: rebekah.smith.1@14883.direct.athenahealth.com

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1710387899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S PINE ISLAND RD FL 33324",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244413",
            "telephone_number": "855-961-1942",
            "fax_number": "866-702-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 NE 10TH AVE APT 303",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622674",
            "telephone_number": "855-961-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBEKAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9464753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.