Individual provider Active NPI

Gretchen Lynn Smith, APRN

  • Adult Health Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1730238411
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
12267 Issued in TN
Practice address
1855 Hollywood Ave
Winter Park, FL 32789-4093
Phone
(407) 645-2334
Fax
(407) 647-5691
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 12267 TN Primary

Addresses

Primary practice location

1855 Hollywood Ave
Winter Park, FL 32789-4093

Mailing address

1855 Hollywood Ave
Winter Park, FL 32789-4093
Phone (407) 645-2334

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
I20170328001088 FL Practitioner - Nurse Practitioner 6305121724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winter Park Internal Medicine MD PA CurrentSince Feb 21, 2017 Accepting new patients
Hardin County Regional Health Center Past Accepting new patients
Savannah Medical Center PC Past Accepting new patients

Locations

1855 Hollywood Ave
Winter Park, FL 32789
Phone (407) 645-2334

Interoperability endpoints

  • Direct secure messaging: gretchen.smith@wpim.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71213

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1730238411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 HOLLYWOOD AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894093",
            "telephone_number": "407-645-2334",
            "fax_number": "407-647-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 HOLLYWOOD AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894093",
            "telephone_number": "407-645-2334",
            "fax_number": "407-647-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GRETCHEN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "12267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.