Shelly R Smith Rnfa Surgical Assist PLLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

607045 Issued in TX

Legal business name

SHELLY R SMITH RNFA SURGICAL ASSIST PLLC

Practice address

7451 Chapel Ave
Fort Worth, TX 76116-7090

Phone

(817) 294-7444

Fax

(817) 423-9060

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Shelly R Smith, RNFA

Title

Owner

Phone

(817) 294-7444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1013150341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11219",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761100219",
            "telephone_number": "817-294-7444",
            "fax_number": "817-423-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 CHAPEL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167090",
            "telephone_number": "817-294-7444",
            "fax_number": "817-423-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY R SMITH RNFA SURGICAL ASSIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-294-7444",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "607045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaan Sheikh, DO
• Andrea Shelbourne
• Joshua Tanner Shelby, DPT
• Shalitha Shelby
• Alexis Shelley
• Carol Sue Shelton, LCSW
• Heather Powell Shelton, M.D.
• Huntly Elberto Shelton III, PH.D.
• Joseph Houston Shelton, M.D.
• Mark M Shelton, MD

• Registered Nurse First Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.