Cassidy Marie Smith, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1128391 Issued in TX

Practice address

4911 Andrews Hwy Ste a
Midland, TX 79703-4507

Phone

(432) 689-0210

Fax

(432) 689-0210

NPI assigned

Jul 13, 2023

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassidy.smith.1@21504.direct.athenahealth.com

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.

• Big Bend Medical Group

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282
  Medicare reassignment NPD
• Big Bend Medical Group

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1790592004
  NPD
• Permian Premier Health Services Inc

  • Contractor
  • Odessa, TX
  • NPI 1285664763
  NPD (past)

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1144909490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 ANDREWS HWY STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034507",
            "telephone_number": "432-689-0210",
            "fax_number": "432-689-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 ANDREWS HWY STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034507",
            "telephone_number": "432-689-0210",
            "fax_number": "432-689-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASSIDY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1128391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Caroline Smith
• Angelica Smith
• Ashley Smith, MSN, APRN, FNP-C
• Becky Lynn Smith, R.N.
• Brendan Dell Smith, DDS, MS
• Christopher Smith, R.T.(R)
• Corey B Smith, CRNA
• David Geoffrey Smith, D.M.D.
• Erin Jensen Smith, M.S. CCC-SLP
• Jade Nicole Smith, LCSW

• Family Nurse Practitioner in Midland, TX
• Providers in Midland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.