Individual provider Active NPI

Diana Joye Smith, FNP-C

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1053859462
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1016948 Issued in TX
Practice address
43 Yu Dr Ste 2
New Braunfels, TX 78130-2458
Phone
(830) 620-0330
NPI assigned
Feb 6, 2017
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1016948 TX Primary

Addresses

Primary practice location

43 Yu Dr Ste 2
New Braunfels, TX 78130-2458

Mailing address

280 Brush Trail BND
Cibolo, TX 78108-4225
Phone (210) 865-1021

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170301000155 TX Practitioner - Nurse Practitioner 7810271301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Medicine Physicians PAGroup PAC ID 7911009055, 16 clinicians

Practice addresses (Care Compare)

29924 FM
Suite 3009
New Braunfels, TX 78132-2637
Phone (830) 620-0330

Merit-based Incentive Payment System (MIPS)

Final score
3.37 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
11.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1016948TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medicine Physicians PA CurrentSince Mar 1, 2017 Accepting new patients
Lone Star Extensivists PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1619 E Common St
Ste 1201
New Braunfels, TX 78130
Phone (830) 620-0330

1672 Independence Dr
Ste 310
New Braunfels, TX 78132
Phone (830) 730-5025

43 Yu Dr
Ste 2
New Braunfels, TX 78130
Phone (830) 620-0330

66 Gruene Park Dr
Ste 210
New Braunfels, TX 78130
Phone (830) 730-4375

Interoperability endpoints

  • Direct secure messaging: dsmith@eotp-tx.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1053859462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BRUSH TRAIL BND",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781084225",
            "telephone_number": "210-865-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YU DR STE 2",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302458",
            "telephone_number": "830-620-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANA",
        "middle_name": "JOYE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F1016948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.