Individual provider Active NPI

Rosa Smith, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1912302829
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9265160 Issued in FL
Practice address
13100 Westlinks Ter Ste 8
Fort Myers, FL 33913-8625
Phone
(239) 202-0932
Fax
(949) 543-2509
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014025 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9265160 FL Primary

Addresses

Primary practice location

13100 Westlinks Ter Ste 8
Fort Myers, FL 33913-8625

Mailing address

13100 Westlinks Ter Ste 8
Fort Myers, FL 33913-8625
Phone (239) 202-0932

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rosasmith@sunshinepsychiatry.kareodirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180718003704 FL Practitioner - Nurse Practitioner 4486972270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunshine Psychiatry, LLCGroup PAC ID 5092052779, 4 clinicians

Practice addresses (Care Compare)

13100 Westlinks Ter
Fort Myers, FL 33913-8625
Phone (239) 202-0932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP014025PAMDFamily Nurse Practitioner
APRN9265160FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Psychiatry, LLC Psychiatric/Mental Health CurrentSince May 17, 2018 Accepting new patients
David Lawrence Mental Health Center, Inc CurrentSince May 1, 2018 Accepting new patients
Integrated Behavioral Healthcare Management Services, Inc. Past Accepting new patients

Locations

3384 Woods Edge Cir
Ste 104E
Bonita Spgs, FL 34134

13100 Westlinks Ter
Ste 8
Fort Myers, FL 33913
Phone (239) 202-0932

13410 Parker Commons Blvd
Ste 101H
Fort Myers, FL 33912

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

Interoperability endpoints

  • Direct secure messaging: rosasmith@sunshinepsychiatry.kareodirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1912302829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 WESTLINKS TER STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138625",
            "telephone_number": "239-202-0932",
            "fax_number": "949-543-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 WESTLINKS TER STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138625",
            "telephone_number": "239-202-0932",
            "fax_number": "949-543-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROSA",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014025",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9265160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rosasmith@sunshinepsychiatry.kareodirect.com",
            "affiliation": "N",
            "address_1": "13100 Westlinks Ter Ste 8",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339138625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.