Individual provider Active NPI

Javashia Nicole Smith, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1174419733
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06251257 Issued in TX
Practice address
221 N Sam Houston Ave
Odessa, TX 79761-5040
Phone
(432) 272-6047
NPI assigned
Jun 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 F06251257 TX Primary

Addresses

Primary practice location

221 N Sam Houston Ave
Odessa, TX 79761-5040

Mailing address

7002 Spur Ranch Rd
Odessa, TX 79765-2252
Phone (337) 256-9675

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
I20250925003845 TX Practitioner - Nurse Practitioner 4284139650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06251257TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Family Health PLLC Current Accepting new patients
Imed Physician Network, Inc. CurrentSince Aug 22, 2025 Accepting new patients

Locations

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

2300 W Michigan Ave
Ste 3
Midland, TX 79701

2300 W Michigan Ave
Ste 7
Midland, TX 79701
Phone (432) 218-7499

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1174419733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 SPUR RANCH RD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652252",
            "telephone_number": "337-256-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SAM HOUSTON AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615040",
            "telephone_number": "432-272-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAVASHIA",
        "middle_name": "NICOLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F06251257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.