ROSA SMITH CRNP NPI 1912302829

NPI Information

NPI: 1912302829
Provider Name: ROSA SMITH, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: SUNSHINE PSYCHIATRY, LLC

PECOS Registration: Yes

Address:
13410 PARKER COMMONS BLVD STE 101H
FORT MYERS, FL
ZIP 33912
Phone: (239) 202-0932
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Rosa Smith, CRNP is a psychiatric/mental health nurse practitioner in Fort Myers, FL with 11 years of experience. Rosa Smith, CRNP NPI is 1912302829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

13410 PARKER COMMONS BLVD STE 101H
FORT MYERS, FL
ZIP 33912-867
Phone: (239) 202-0932
Fax: (949) 543-2509

The NPI 1912302829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2014 and was last updated on 3/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP014025	PENNSYLVANIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN9265160	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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