Individual provider Active NPI

Stephanie N Smith, NP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1194201251
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137998 Issued in TX
Practice address
613 Elizabeth St Ste 704
Corpus Christi, TX 78404-2220
Phone
(361) 885-0010
Fax
(361) 885-0001
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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 AP137998 TX Primary

Addresses

Primary practice location

613 Elizabeth St Ste 704
Corpus Christi, TX 78404-2220

Mailing address

3048 Mayfield Ave
Ingleside, TX 78362-4224
Phone (361) 205-9557

Other practice location 1

3048 Mayfield Ave
Ingleside, TX 78362-4224
Phone (361) 205-9557

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP137998TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adriana Pop-Moody MD Clinic PA Past Accepting new patients
Ann M Aleman-Weinmann MD., Facp PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1194201251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 MAYFIELD AVE",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783624224",
            "telephone_number": "361-205-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 704",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042220",
            "telephone_number": "361-885-0010",
            "fax_number": "361-885-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3048 Mayfield Ave",
            "address_purpose": "LOCATION",
            "city": "Ingleside",
            "state": "TX",
            "postal_code": "783624224",
            "country_code": "US",
            "telephone_number": "361-205-9557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.