Chelsea Michelle Smith

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

890812 Issued in TX

Practice address

1423 Applewood Dr
Keller, TX 76248-8249

Phone

(817) 773-8590

NPI assigned

Feb 21, 2018

Last updated

Feb 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1053811588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 APPLEWOOD DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 APPLEWOOD DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488249",
            "telephone_number": "817-773-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHELSEA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "890812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sky Creek Dental (Brent Cornelius DDS PA)
• Delaney E Slate, BCBA
• Carissa Small
• Adrienne Smith, APRN, WHNP-BC
• Carly Mae Smith, OTR
• David Harrison Smith, D.C.
• Kimberly Jill Smith, LPC
• Samantha Smith
• Shandy Renee Smith, MS CCC-SLP
• Tiffaney Smith, LPC

• Registered Nurse in Keller, TX
• Providers in Keller, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.