Individual provider Active NPI

Tiffany Paige Smedley, APRN-CNP

  • Family Nurse Practitioner
  • Rio Grande City, TX
National Provider Identifier
1295590222
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1143781 Issued in TX
Practice address
131 N FM 3167 Ste C
Rio Grande City, TX 78582-7009
Phone
(956) 352-1344
Fax
(956) 352-1343
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1143781 TX Primary

Addresses

Primary practice location

131 N FM 3167 Ste C
Rio Grande City, TX 78582-7009

Mailing address

131 N FM 3167 Ste C
Rio Grande City, TX 78582-7009
Phone (956) 352-1344

Other practice location 1

131 N Fm 3167 Ste D
Rio Grande City, TX 78582-7009
Phone (956) 317-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240503001837 TX Practitioner - Nurse Practitioner 7113367426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gauri Kanhere PLLCGroup PAC ID 2062833106, 8 clinicians

Practice addresses (Care Compare)

131 N FM
3167 Suite C
Rio Grande City, TX 78582-7009
Phone (956) 352-1344

Hospital & facility affiliations

  • Starr County Memorial Hospital Hospital, Rio Grande City, TX, CCN 450654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gauri Kanhere PLLC CurrentSince Apr 1, 2024 Accepting new patients
Gauri Kanhere PLLC CurrentSince Apr 1, 2024 Accepting new patients
Luis Valencia MD PA PastSince Feb 13, 2022 Accepting new patients
Luis Valencia MD PA PastSince Feb 13, 2022 Accepting new patients

Locations

131 N FM 3167
Ste C
Rio Grande Cy, TX 78582
Phone (956) 352-1344

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 3

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1295590222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE C",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-352-1344",
            "fax_number": "956-352-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE C",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-352-1344",
            "fax_number": "956-352-1343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 N Fm 3167 Ste D",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785827009",
            "country_code": "US",
            "telephone_number": "956-317-1126",
            "fax_number": "956-317-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMEDLEY",
        "first_name": "TIFFANY",
        "middle_name": "PAIGE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1143781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.