Individual provider Active NPI

Dawn Smith Walsh, APRN, AGNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1992030696
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11006514 Issued in FL
Practice address
14910 N. Dale Mabry Hwy
# 342203
Tampa, FL 33618
Phone
(813) 820-4828
Fax
(813) 820-4977
NPI assigned
Oct 14, 2009
Last updated
Jun 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11006514 FL Primary
Gerontology Nurse Practitioner 363LG0600X APRN11006514 FL
Adult Health Nurse Practitioner 363LA2200X APRN11006514 FL

Addresses

Primary practice location

14910 N. Dale Mabry Hwy
# 342203
Tampa, FL 33618

Mailing address

14910 N Dale Mabry Hwy # 342203
Tampa, FL 33618-1814
Phone (813) 820-4828

Other names 1

  • Dawn Smith Other name

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
I20201015000853 FL Practitioner - Nurse Practitioner 8123459468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Tampa, FL 33618
Phone (813) 838-1740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006514FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Smith Walsh, Aprn-BC, PLLC CurrentSince May 5, 2021 Accepting new patients
Diosa Integrative Medicine CurrentSince Sep 22, 2025 Accepting new patients

Locations

14910 N Dale Mabry Hwy
#342203
Tampa, FL 33618
Phone (813) 820-4828

20701 Bruce B Downs Blvd
Ste 204
Tampa, FL 33647
Phone (813) 820-4828

Organizations & group practices 2

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": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1992030696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14910 N DALE MABRY HWY # 342203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181814",
            "telephone_number": "813-820-4828",
            "fax_number": "813-820-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14910 N. DALE MABRY HWY",
            "address_2": "# 342203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33618",
            "telephone_number": "813-820-4828",
            "fax_number": "813-820-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH WALSH",
        "first_name": "DAWN",
        "credential": "APRN, AGNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11006514",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11006514",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11006514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.