Active NPI
Jasmine Dominique Smith, NP
- Family Nurse Practitioner
- Frisco, TX
National Provider Identifier
1295306488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904359
- Practice address
- 11777 Lebanon Rd
Frisco, TX 75035-6295 - Phone
- (561) 841-1213
- NPI assigned
- Jul 8, 2021
- Last updated
- Dec 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1049367 | TX | |
| Family Nurse Practitioner | 363LF0000X | 904359 | MS | Primary |
| Family Medicine Physician | 207Q00000X | 1049367 | TX |
Addresses
Primary practice location
11777 Lebanon Rd
Frisco, TX 75035-6295
Mailing address
1246 Kirk Cir
Greenville, MS 38701-6315
Phone (662) 379-1222
Other practice location 1
3434 W Illinois Ave
Dallas, TX 75211-8709
Phone (972) 903-2277
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jasmine425@icloud.com | Direct | |
| Direct Messaging Address | jsmith@restoredpath.com | Health Information Exchange (HIE) |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1049367 | TX | MD | Family Medicine Physician |
| 904359 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical PA | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1295306488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 KIRK CIR",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387016315",
"telephone_number": "662-379-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11777 LEBANON RD",
"city": "FRISCO",
"state": "TX",
"postal_code": "750356295",
"telephone_number": "561-841-1213"
}
],
"practiceLocations": [
{
"address_1": "3434 W Illinois Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752118709",
"country_code": "US",
"telephone_number": "972-903-2277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JASMINE",
"middle_name": "DOMINIQUE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "TX",
"license": "1049367",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "904359",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "1049367",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jasmine425@icloud.com",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1699 S Main St",
"city": "Greenville",
"state": "MS",
"country_code": "US",
"postal_code": "387017364",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsmith@restoredpath.com",
"affiliation": "N",
"endpointDescription": "SECURED EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11777 Lebanon Rd",
"city": "Frisco",
"state": "TX",
"country_code": "US",
"postal_code": "750356295",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.