Individual provider Active NPI

Rachel Lynn Smith, APRN

  • Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1750474227
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11002486 Issued in FL
Practice address
5717 21St Ave West
Bradenton, FL 34209-5604
Phone
(941) 792-8383
Fax
(941) 792-8484
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11002486 FL Primary

Addresses

Primary practice location

5717 21St Ave West
Bradenton, FL 34209-5604

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 500-5633

Other practice location 1

1215 S East Ave Ste 301
Sarasota, FL 34239-2342
Phone (941) 827-0701

Other practice location 2

5601 21st Ave W Ste D
Bradenton, FL 34209-5642
Phone (941) 792-8383

Other identifiers 2

IdentifierTypeStateIssuer
80805VOtherFLFL MEDICARE
OP576OtherFLHEALTH FIRST-MEDICARE

Other names 1

  • Rachel O'Hanlon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics and Gynecology Specialists PC PastSince Sep 3, 1991 Accepting new patients
Woman to Woman Health Inc Advanced Practice Midwife Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1036

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1750474227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-500-5633",
            "fax_number": "321-617-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 21ST AVE WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095604",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 S East Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392342",
            "country_code": "US",
            "telephone_number": "941-827-0701",
            "fax_number": "941-365-7057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 21st Ave W Ste D",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342095642",
            "country_code": "US",
            "telephone_number": "941-792-8383",
            "fax_number": "941-792-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "80805V",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST-MEDICARE",
            "identifier": "OP576",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "O'HANLON",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.