Active NPI
Karen Deborah Smith, FNP, APRN
- Family Nurse Practitioner
- Indiantown, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN9281159
- Practice address
- 15208 SW Palm Oak Dr
Indiantown, FL 34956 - Phone
- (772) 349-0544
- NPI assigned
- Jun 18, 2018
- Last updated
- Aug 29, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN9281159 | FL | Primary |
Addresses
Primary practice location
15208 SW Palm Oak Dr
Indiantown, FL 34956
Mailing address
1095 NW Saint Lucie West Blvd Ste 220
Port St Lucie, FL 34986-1719
Phone (727) 855-5057
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9281159 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
3496 NW Federal Hwy
Ste A
Jensen Beach, FL 34957
Phone (772) 223-5612
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
1095 NW Saint Lucie West Blvd
Ste 220
Port St Lucie, FL 34986
Phone (772) 283-1550
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- ksmith2496225@direct.ccf.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1871087544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 NW SAINT LUCIE WEST BLVD STE 220",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861719",
"telephone_number": "727-855-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15208 SW PALM OAK DR",
"city": "INDIANTOWN",
"state": "FL",
"postal_code": "34956",
"telephone_number": "772-349-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KAREN",
"middle_name": "DEBORAH",
"credential": "FNP, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "RN9281159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indiantown, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.