Active NPI
Molly Smith, RN
- Registered Nurse
- Plano, TX
National Provider Identifier
1154179026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1069859
- Practice address
- 6404 International Pkwy Ste 1010
Plano, TX 75093-8346 - Phone
- (972) 267-1988
- Fax
- (972) 267-3434
- NPI assigned
- May 7, 2024
- Last updated
- May 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1069859 | TX | Primary |
Addresses
Primary practice location
6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Mailing address
6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Phone (972) 267-1988
Other practice location 1
8111 Lbj Fwy Ste 900
Dallas, TX 75251-1322
Phone (469) 845-9857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1069859 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Behavioral Health Authority | Registered Nurse | Past | Accepting new patients |
| North Texas Behavioral Health Authority | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Dallas, TX
- NPI 1407488463
Registered Nurse
-
- Psychiatry Physician
- Dallas, TX
- NPI 1457720120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1154179026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 INTERNATIONAL PKWY STE 1010",
"city": "PLANO",
"state": "TX",
"postal_code": "750938346",
"telephone_number": "972-267-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 INTERNATIONAL PKWY STE 1010",
"city": "PLANO",
"state": "TX",
"postal_code": "750938346",
"telephone_number": "972-267-1988",
"fax_number": "972-267-3434"
}
],
"practiceLocations": [
{
"address_1": "8111 Lbj Fwy Ste 900",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752511322",
"country_code": "US",
"telephone_number": "469-845-9857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MOLLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1069859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.