Individual provider Active NPI

Mildred Kennedy Smith, CRNP

  • Family Nurse Practitioner
  • Orange Beach, AL
National Provider Identifier
1811750102
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-130918 Issued in AL
Practice address
4223 Orange Beach Blvd
Orange Beach, AL 36561-3459
Phone
(251) 974-2273
Fax
(251) 974-2276
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-130918 AL Primary

Addresses

Primary practice location

4223 Orange Beach Blvd
Orange Beach, AL 36561-3459

Mailing address

26620 Cotton Bayou Dr
Orange Beach, AL 36561-3519
Phone (334) 430-6968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250313003501 AL Practitioner - Nurse Practitioner 6507388063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Rapid Healthcare IncGroup PAC ID 4284985516, 7 clinicians

Practice addresses (Care Compare)

25910 Canal Rd
Suite D
Orange Beach, AL 36561-5016
Phone (251) 974-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Rapid Care, LLC Current Accepting new patients
Southern Rapid Healthcare Inc. CurrentSince Feb 19, 2025 Accepting new patients

Locations

25910 Canal Rd
Ste D
Orange Beach, AL 36561
Phone (251) 974-2273

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1811750102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26620 COTTON BAYOU DR",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365613519",
            "telephone_number": "334-430-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 ORANGE BEACH BLVD",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365613459",
            "telephone_number": "251-974-2273",
            "fax_number": "251-974-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MILDRED",
        "middle_name": "KENNEDY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-130918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Beach, AL

Sources for this page

Verify at the official NPI Registry.