Active NPI
Michelle Smith, NP
- Family Nurse Practitioner
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP144903
- Practice address
- 1901 Medi Park Dr Ste 200
Amarillo, TX 79106-2107 - Phone
- (806) 468-4350
- Fax
- (806) 468-4351
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP144903 | TX | Primary |
Addresses
Primary practice location
1901 Medi Park Dr Ste 200
Amarillo, TX 79106-2107
Mailing address
1901 Medi Park Dr Ste 2001
Amarillo, TX 79106-2108
Phone (806) 468-4350
Other practice location 1
1901 Medi Park Dr Ste 2001
Amarillo, TX 79106-2108
Phone (806) 468-4350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5701 Time SQ
Suite 340
Amarillo, TX 79119-1185
Phone (512) 517-6626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP144903 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Healthcare Associates, LLP | Current | Accepting new patients | |
| Happy Health and Wellness LLC | Current | Accepting new patients | |
| West Texas a & M University | Past | Accepting new patients |
Locations
2000 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 282-8018
1901 Medi Park Dr
Ste 200
Amarillo, TX 79106
Phone (806) 420-3550
5701 Time Square
Ste 340
Amarillo, TX 79119
Phone (806) 686-2885
1901 Medi Park Dr
Ste 2001
Amarillo, TX 79106
Phone (806) 356-2280
7225 W Highway 71
Ste C
Austin, TX 78735
Phone (512) 288-0522
1101 Bunton Creek Rd
Unit 330
Kyle, TX 78640
Phone (512) 200-3910
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHGFDD
- https://fhir4.healow.com/fhir/r4/DFGDDD
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/AGCFDD
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.
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1629844014
-
- Pediatrics Physician
- Amarillo, TX
- NPI 1831226430
-
- Hearing and Speech Clinic/Center
- Canyon, TX
- NPI 1194083311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1023640356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR STE 2001",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062108",
"telephone_number": "806-468-4350",
"fax_number": "806-468-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MEDI PARK DR STE 200",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062107",
"telephone_number": "806-468-4350",
"fax_number": "806-468-4351"
}
],
"practiceLocations": [
{
"address_1": "1901 Medi Park Dr Ste 2001",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791062108",
"country_code": "US",
"telephone_number": "806-468-4350",
"fax_number": "806-468-4351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MICHELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.