Active NPI
Ilia Jamila Smith, APRN, CNM, WHNP-BC
- Advanced Practice Midwife
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP140725
- Practice address
- 2922B Martin Luther King Jr Blvd
Dallas, TX 75215-2321 - Phone
- (214) 426-3645
- NPI assigned
- Nov 6, 2009
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 871226 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | 95003008 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | AP140725 | TX | |
| Advanced Practice Midwife | 367A00000X | 235755 | CA | |
| Advanced Practice Midwife | 367A00000X | 209007796 | IL | |
| Advanced Practice Midwife | 367A00000X | AP140725 | TX | Primary |
Addresses
Primary practice location
2922B Martin Luther King Jr Blvd
Dallas, TX 75215-2321
Mailing address
2922B Martin Luther King Jr Blvd
Dallas, TX 75215-2321
Phone (214) 426-3645
Other names 1
- Ilia J Smith
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6752 San Roque
Irving, TX 75039-3234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 871226 | TX | MD | Registered Nurse |
| 235755 | CA | MD | Advanced Practice Midwife |
| 209007796 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orsel S. McGhee III M.D., P.a. | Current | Accepting new patients | |
| Atlas Holistic Health PLLC | Current | Accepting new patients | |
| The Pursuit of Wellness | Current | Accepting new patients | |
| Martin Luther King Jr Family Clinic | Current | Accepting new patients | |
| Womens Urgent Care and Wellness Centers | Current | Accepting new patients | |
| Blue Island HBP Medical Group LLC | Past | Accepting new patients | |
| Dallas County Mental Health & Mental Retardation Center | Past | Accepting new patients | |
| MSMC Investors, LLC | Advanced Practice Midwife | Past | Accepting new patients |
Locations
2922 Mlk Blvd
#B
Dallas, TX 75215
Phone (214) 425-3645
2922 Martin Luther King Jr Blvd
Dallas, TX 75215
Phone (214) 426-3645
2922 Martin Luther King Jr Blvd
Bldg B
Dallas, TX 75215
Phone (214) 426-3645
1244 William D Tate Ave
Grapevine, TX 76051
Phone (817) 416-9800
617 W Moore Ave
Ste B
Terrell, TX 75160
Phone (972) 563-8100
Interoperability endpoints
- ilia.smith.1@17390.direct.athenahealth.com
- ismithrandle113840@direct.phhs.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Mesquite, TX
- NPI 1326992785
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1851492557
-
- Complex Family Planning Physician
- Irving, TX
- NPI 1134075526
-
- Women's Health Nurse Practitioner
- Garland, TX
- NPI 1689904799
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1457598757
-
- Physical Medicine & Rehabilitation Physician
- Grapevine, TX
- NPI 1134903719
-
- Specialist
- Terrell, TX
- NPI 1013147792
-
- Psychiatry Physician
- Dallas, TX
- NPI 1023239886
-
- Hospitalist Physician
- Blue Island, IL
- NPI 1902170848
-
- Family Medicine Physician
- Blue Island, IL
- NPI 1225286412
Advanced Practice Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1245567643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922B MARTIN LUTHER KING JR BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752152321",
"telephone_number": "214-426-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922B MARTIN LUTHER KING JR BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752152321",
"telephone_number": "214-426-3645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ILIA",
"middle_name": "JAMILA",
"credential": "APRN, CNM, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "871226",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95003008",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP140725",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "235755",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209007796",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "AP140725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ILIA",
"last_name": "SMITH",
"middle_name": "J",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.