Individual provider Active NPI

Heather Rene Smart, NP-BC

  • Family Nurse Practitioner
  • Tarzana, CA
National Provider Identifier
1285398578
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP950025440 Issued in CA
Practice address
18321 Ventura Blvd Ste 150
Tarzana, CA 91356-4253
Phone
(818) 776-0660
Fax
(818) 776-8620
NPI assigned
Oct 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 614488 CA
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NP950025440 CA Primary

Addresses

Primary practice location

18321 Ventura Blvd Ste 150
Tarzana, CA 91356-4253

Mailing address

5850 Canoga Ave Ste 312
Woodland Hills, CA 91367-6567
Phone (805) 857-7924

Other practice location 1

5850 Canoga Ave Ste 312
Woodland Hills, CA 91367-6567
Phone (805) 857-7924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516002884 CA Practitioner - Nurse Practitioner 0345681664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

18321 Ventura Blvd
Suite 150
Tarzana, CA 91356-4253
Phone (818) 776-0660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
614488CAMDRegistered Nurse
NP950025440CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander P. Hersel, M.D., Inc Single Specialty CurrentSince May 9, 2024 Accepting new patients
Urology Institute of the South Bay Single Specialty Current Accepting new patients
Skyline Urology Single Specialty Current Accepting new patients
Genesis Healthcare Partners PC Single Specialty CurrentSince Jul 8, 2024 Accepting new patients

Locations

18321 Ventura Blvd
Ste 150
Tarzana, CA 91356
Phone (818) 776-0660

1120 Newbury Rd
Ste 150
Thousand Oaks, CA 91320
Phone (805) 557-0096

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

Interoperability endpoints

  • Direct secure messaging: heather.smart.1@3663.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1285398578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 CANOGA AVE STE 312",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676567",
            "telephone_number": "805-857-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 VENTURA BLVD STE 150",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564253",
            "telephone_number": "818-776-0660",
            "fax_number": "818-776-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 Canoga Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913676567",
            "country_code": "US",
            "telephone_number": "805-857-7924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMART",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "614488",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP950025440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.