David Cooper Smith, FNP-BC, PHN, CNL

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95032693 Issued in CA

Practice address

81719 Dr Carreon Blvd Ste a
Indio, CA 92201-5518

Phone

(760) 340-0707

NPI assigned

Jan 13, 2020

Sex

Male

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

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Comprehensive Medical Group IncGroup PAC ID 4587601786, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Valley Comprehensive Medical Group Inc

  • Internal Medicine Physician
  • Indio, CA
  • NPI 1164506358
  Medicare reassignment Care Compare group NPD
• Tobias Moeller-Bertram MD Corporation

  dba Lifekind Health

  • Pain Medicine (Anesthesiology) Physician
  • Rancho Mirage, CA
  • NPI 1922440684
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1144860651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82879 KINGSBORO LN",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922019667",
            "telephone_number": "415-341-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81719 DR CARREON BLVD STE A",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015518",
            "telephone_number": "760-340-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "COOPER",
        "name_prefix": "Mr.",
        "credential": "FNP-BC, PHN, CNL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95032693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Singh
• Courtney Rae Lingle Sippel, LCSW
• Naomi Cazares Siqueiros, RADT 1
• Sleep Diagnostics of the Coachella Valley LLC
• Danae Smart, MD
• Deborah Smith, R.N
• Ellen Meg Smith, D.O.
• Joshua Smith
• Kara Smith, PA
• Krystal Ann Smith, FNP

• Nurse Practitioner in Indio, CA
• Providers in Indio, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.