Individual provider Active NPI

Jennifer J Smith, ARNP

  • Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1962707042
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9210859 Issued in FL
Practice address
13590 Jog Rd
C-3
Delray Beach, FL 33446-3807
Phone
(561) 988-1531
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9210859 FL Primary

Addresses

Primary practice location

13590 Jog Rd
C-3
Delray Beach, FL 33446-3807

Mailing address

6590 Newport Lake Cir
Boca Raton, FL 33496-3001
Phone (561) 988-1531

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
I20211206000299 FL Practitioner - Nurse Practitioner 8628468758 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebello Medical Associates MD PLGroup PAC ID 1759358351, 3 clinicians

Practice addresses (Care Compare)

13590 S Jog Rd
Suite 3C
Delray Beach, FL 33446-3807
Phone (561) 637-8383

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9210859FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles K Friedman DO PA CurrentSince Mar 31, 2023 Accepting new patients
Wound Technology Network Inc CurrentSince Apr 8, 2024 Accepting new patients
Rebello Medical Associates MD PL CurrentSince Jan 6, 2025 Accepting new patients
Florida Pain Relief Group PLLC Nurse Practitioner CurrentSince Nov 8, 2021 Accepting new patients
Ballout International PLLC Past Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660

37135 Coleman Ave
Dade City, FL 33525
Phone (352) 567-8615

13590 S Jog Rd
Ste 3C
Delray Beach, FL 33446
Phone (561) 637-8383

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

295 SW 4th Ave
Pompano Beach, FL 33060
Phone (561) 960-2020

5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450

4251 Springtree Dr
Sunrise, FL 33351
Phone (954) 263-4407

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

1397 Medical Park Blvd
Ste 460
Wellington, FL 33414
Phone (561) 791-4434

1397 Medical Park Blvd
Ste 140
Wellington, FL 33414
Phone (561) 472-5810

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

Organizations & group practices 5

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": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1962707042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 NEWPORT LAKE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963001",
            "telephone_number": "561-988-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 JOG RD",
            "address_2": "C-3",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-988-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9210859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.