Elizabeth Ann Smith

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11027366 Issued in FL

Practice address

4586 E Michigan St
Orlando, FL 32812-5233

Phone

(407) 751-2297

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pediatrix Medical Group of Florida Inc

  • Pediatric Cardiology Physician
  • Sunrise, FL
  • NPI 1083711790

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1740968007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8854 LAKE IRMA PT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171661",
            "telephone_number": "407-430-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4586 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328125233",
            "telephone_number": "407-751-2297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3607 Aloma Ave",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327658856",
            "country_code": "US",
            "telephone_number": "321-340-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11027366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Smith
• Dawn M. Smith, PT
• Devin Smith, RBT
• Diana Lynn Smith, ARNP
• Eboni Sharee Smith
• Erlyn Smith, M.D.
• Frances K Smith, RD, CSR, LDN
• Frederick Smith
• Freeston Cameron Smith
• Gayle Brazzi Smith, M.S., R.D., L.D./N.

• Pediatric Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.