Vongretshun Smith-Gross

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

196090 Issued in TN

Practice address

9846 Hwy 31 E
Tyler, TX 75705-2329

Phone

(903) 525-3801

Fax

(903) 525-3858

NPI assigned

Aug 13, 2019

Last updated

Aug 13, 2019By 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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1093361321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 HWY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-525-3801",
            "fax_number": "903-525-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 HWY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-525-3801",
            "fax_number": "903-525-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-GROSS",
        "first_name": "VONGRETSHUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "196090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahyah Smadi, MD
• Bessie Small
• Smith County Champions for Children
• Smith County Healthcare Systems LLC
• Smith Emergency Medicine Associates PA
• Adena Smith, CRNA
• Alexandra Smith
• Alyssa Smith
• Amie Smith
• Andrea Lynn Smith, RN

• Licensed Practical Nurse in Tyler, TX
• Providers in Tyler, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.