Susanna J Louisa Smit

Primary specialty

Nutrition Support Registered NurseTaxonomy code 163WN1003X

License

817147 Issued in TX

Practice address

2407 Bill Smith Rd
Conroe, TX 77384-4407

Phone

(832) 270-8030

Fax

(832) 270-8030

NPI assigned

Sep 2, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1275412306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 BILL SMITH RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844407",
            "telephone_number": "832-270-8030",
            "fax_number": "832-270-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 BILL SMITH RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844407",
            "telephone_number": "832-270-8030",
            "fax_number": "832-270-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIT",
        "first_name": "SUSANNA",
        "middle_name": "J LOUISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "TX",
            "license": "817147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Conroe, PA
• Smile Revolution PLLC
• Smiles by Spates, LLC
• Jarrett Smilie, L.M.T., NASM-CPT
• Smilux Dental Studio PLLC
• Darrell Smith
• Elizabeth Kay Smith, FNP-BC
• Eric D Smith, LPC
• Joshua Garrett Smith, DC
• Justin Smith

• Nutrition Support Registered Nurse in Conroe, TX
• Providers in Conroe, TX by specialty
• Nutrition Support Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.