Individual provider Active NPI

Laura A Smith, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1285291880
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP142681 Issued in TX
Practice address
203 Cedar St
Mansfield, TX 76063-1810
Phone
(817) 313-0490
Fax
(817) 789-4341
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP142681 TX Primary

Addresses

Primary practice location

203 Cedar St
Mansfield, TX 76063-1810

Mailing address

990 Hwy 287 N Ste 106
#256
Mansfield, TX 76063-2643
Phone (817) 313-0490

Other practice location 1

5200 S W S Young Dr
Killeen, TX 76542-3381
Phone (818) 920-0025

Other practice location 2

2089 Texas Oaks
Spring Branch, TX 78070
Phone (830) 333-8130

Other practice location 3

37131 Interstate 10 W Ste 101
Boerne, TX 78006-8989
Phone (817) 472-9369

Other practice location 4

6012 W William Cannon Dr Ste D101
Austin, TX 78749-1979
Phone (512) 647-1300

Other practice location 5

3262 S Alameda St
Corpus Christi, TX 78404-2508
Phone (210) 280-0262

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP142681TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtue Recovery Center PastSince Jun 21, 2022 Accepting new patients

Organizations & group practices 1

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1285291880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HWY 287 N STE 106",
            "address_2": "#256",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632643",
            "telephone_number": "817-313-0490",
            "fax_number": "817-789-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CEDAR ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631810",
            "telephone_number": "817-313-0490",
            "fax_number": "817-789-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 S W S Young Dr",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765423381",
            "country_code": "US",
            "telephone_number": "818-920-0025",
            "fax_number": "818-928-0042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2089 Texas Oaks",
            "address_purpose": "LOCATION",
            "city": "Spring Branch",
            "state": "TX",
            "postal_code": "78070",
            "country_code": "US",
            "telephone_number": "830-333-8130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37131 Interstate 10 W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780068989",
            "country_code": "US",
            "telephone_number": "817-472-9369",
            "fax_number": "817-789-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6012 W William Cannon Dr Ste D101",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787491979",
            "country_code": "US",
            "telephone_number": "512-647-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3262 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042508",
            "country_code": "US",
            "telephone_number": "210-280-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.