Active NPI
Rachel Lynn Smith, APRN
- Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1750474227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11002486
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80805V | Other | FL | FL MEDICARE |
| OP576 | Other | FL | HEALTH FIRST-MEDICARE |
Other names 1
- Rachel O'Hanlon
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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrics and Gynecology Specialists PC | Past | Accepting new patients | |
| Woman to Woman Health Inc | Advanced Practice Midwife | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Obstetrics & Gynecology Physician
- Davenport, IA
- NPI 1427003011
-
- Advanced Practice Midwife
- Davenport, IA
- NPI 1316926512
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.