Salina Lucille Smizer-Harris

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

625 Nemitz St
Crowley, TX 76036-2768

Phone

(708) 612-0915

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Carefirst LLC

  • Family Medicine Physician
  • Mansfield, TX
  • NPI 1235800459
  Medicare reassignment NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1023771987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 NEMITZ ST",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760362768",
            "telephone_number": "708-612-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 NEMITZ ST",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760362768",
            "telephone_number": "708-612-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIZER-HARRIS",
        "first_name": "SALINA",
        "middle_name": "LUCILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Skinner, LPC-S
• Odalis P Skur, D.D.S.
• Jennifer Smith, MAT, LAT, ATC
• Jennifer Smith, LCDC,SAP
• Joshua Ty Smith, D.D.S.
• Beatrice Soremekun-Jolly
• Areya Square, LVN
• St Dental PLLC
• Stampleyshealthcaresolution
• Cindi Stickle, CHC

• Student in an Organized Health Care Education/Training Program in Crowley, TX
• Providers in Crowley, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.