Active NPI
Debra Warren Smothers
- Land Ambulance
- Middleburg, FL
National Provider Identifier
1801637509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Practice address
- 3872 Trail Ridge Rd
Middleburg, FL 32068-9028 - Phone
- (904) 307-0071
- NPI assigned
- Jun 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
3872 Trail Ridge Rd
Middleburg, FL 32068-9028
Mailing address
1075 Oakleaf Plantation Pkwy
Ste 304, #181
Orange Park, FL 32065
Phone (904) 689-6854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Purpose LLC | Land Transport | Current | Accepting new patients |
Locations
1075 Oakleaf Plantation Pkwy
Ste 304
Orange Park, FL 32065
Organizations & group practices 1
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": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1801637509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 OAKLEAF PLANTATION PKWY",
"address_2": "STE 304, #181",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "32065",
"telephone_number": "904-689-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3872 TRAIL RIDGE RD",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320689028",
"telephone_number": "904-307-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOTHERS",
"first_name": "DEBRA",
"middle_name": "WARREN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.