Individual provider Active NPI

Jasmine Dominique Smith, NP

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1295306488
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904359 Issued in MS
Practice address
11777 Lebanon Rd
Frisco, TX 75035-6295
Phone
(561) 841-1213
NPI assigned
Jul 8, 2021
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1049367TXMDFamily Medicine Physician
904359MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical PA PastSince Apr 2, 2012 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.

Verify at the official NPI Registry.