Individual provider Active NPI

Brandi Lee Smith, FNP-C

  • Family Nurse Practitioner
  • Kingsville, TX
National Provider Identifier
1093293318
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138260 Issued in TX
Practice address
1305 S 14TH St
Kingsville, TX 78363-6356
Phone
(361) 595-1986
Fax
(361) 595-1478
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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 AP138260 TX Primary

Addresses

Primary practice location

1305 S 14TH St
Kingsville, TX 78363-6356

Mailing address

1305 S 14TH St
Kingsville, TX 78363-6356
Phone (361) 595-1986

Other practice location 1

1305 S 14th St
Kingsville, TX 78363-6356
Phone (361) 595-1986

Other names 1

  • Brandi Ficklin Smith Other name

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
I20181117000186 TX Practitioner - Nurse Practitioner 7113271792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Morales, M.D.,P.a.Group PAC ID 3678662558, 2 clinicians

Practice addresses (Care Compare)

1305 S 14TH St
Kingsville, TX 78363-6356
Phone (361) 595-1986

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1093293318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S 14TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636356",
            "telephone_number": "361-595-1986",
            "fax_number": "361-595-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S 14TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636356",
            "telephone_number": "361-595-1986",
            "fax_number": "361-595-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783636356",
            "country_code": "US",
            "telephone_number": "361-595-1986",
            "fax_number": "361-595-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "SMITH",
            "middle_name": "FICKLIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.