Active NPI
Jennifer Nicole Smith, APRN
- Nurse Practitioner
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP142542
- Practice address
- 5904 Summerfield Dr
Texarkana, TX 75503-4306 - Phone
- (430) 200-4350
- Fax
- (855) 903-3930
- NPI assigned
- Mar 24, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142542 | TX | |
| Nurse Practitioner | 363L00000X | AP142542 | TX | Primary |
Addresses
Primary practice location
5904 Summerfield Dr
Texarkana, TX 75503-4306
Mailing address
5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone (430) 200-4350
Other practice location 1
6201 Harry Hines Blvd
Dallas, TX 75390
Phone (214) 633-5555
Other practice location 2
2999 Olympus Blvd
Coppell, TX 75019-0122
Phone (469) 647-4445
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Texarkana, TX 75503
Phone (430) 200-4350
2001 Inwood Rd
Dallas, TX 75390-7202
Phone (214) 645-0538
5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone (430) 200-4350
Hospital & facility affiliations
- Vitalcaring Group
- Paradigm Homecare
- Enhabit Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142542 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Midsouth Transitions Medical Group | Family | Current | Accepting new patients |
| Midsouth Homecare PLLC | Family | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
2999 Olympus Blvd
Coppell, TX 75019
Phone (469) 647-4250
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
5904 Summerfield Dr
Texarkana, TX 75503
Phone (430) 200-4350
2001 Inwood Rd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-8000
Interoperability endpoints
- jsmith1361028@direct.sw.org
- https://api.platform.athenahealth.com/18412/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Texarkana, TX
- NPI 1295325611
-
- Family Medicine Physician
- Texarkana, TX
- NPI 1790262681
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tyler, TX
- NPI 1588644934
-
- Home Health Agency
- Sulphur Springs, TX
- NPI 1467591032
-
- Home Health Agency
- Tyler, TX
- NPI 1376540047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1215468897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 SUMMERFIELD DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034306",
"telephone_number": "430-200-4350",
"fax_number": "855-903-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5904 SUMMERFIELD DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034306",
"telephone_number": "430-200-4350",
"fax_number": "855-903-3930"
}
],
"practiceLocations": [
{
"address_1": "6201 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75390",
"country_code": "US",
"telephone_number": "214-633-5555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2999 Olympus Blvd",
"address_purpose": "LOCATION",
"city": "Coppell",
"state": "TX",
"postal_code": "750190122",
"country_code": "US",
"telephone_number": "469-647-4445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142542",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP142542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.