NPIMap

Individual provider Active NPI

Jacqueline D. Smith, RN, MS, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1184941759
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
696538 Issued in TX
Practice address
5184 Tex Oak Ave
Anderson Urology 4TH Floor
Dallas, TX 75235-7822
Phone
(214) 590-6310
NPI assigned
Apr 22, 2010
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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 696538 TX Primary

Addresses

Primary practice location

5184 Tex Oak Ave
Anderson Urology 4TH Floor
Dallas, TX 75235-7822

Mailing address

5184 Tex Oak Ave
Anderson Urology 4TH Floor
Dallas, TX 75235-7822
Phone (214) 590-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000805 TX Practitioner - Nurse Practitioner 4688706039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1800 N Britain Rd
Parkland Health
Irving, TX 75061-2630
Phone (214) 266-3000

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
696538TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 1, 2016 Accepting new patients
Dallas County Hospital District Family CurrentSince May 1, 2010 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 1, 2016 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Dallas County Hospital District CurrentSince May 1, 2010 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

5184 Tex Oak Ave
Fl 4
Dallas, TX 75235
Phone (214) 266-9582

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: jsmith732@direct.phhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1184941759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5184 TEX OAK AVE",
            "address_2": "ANDERSON UROLOGY 4TH FLOOR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357822",
            "telephone_number": "214-590-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5184 TEX OAK AVE",
            "address_2": "ANDERSON UROLOGY 4TH FLOOR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357822",
            "telephone_number": "214-590-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "D.",
        "credential": "RN, MS, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "696538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.