Tiffany Summer Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

Battalion Ave.
BLDG 33003
Fort Hood, TX 76544

Phone

(254) 618-8782

NPI assigned

Mar 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1316687882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 PEACENEST DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102189",
            "telephone_number": "919-771-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BATTALION AVE.",
            "address_2": "BLDG 33003",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-618-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "SUMMER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Dawn Smith, RN
• Loretta Annette Smith, LCSW
• Maisha Marie Smith, PHD
• Maya A Smith
• Mildred Marie Smith, RN,MS, MN, PNP
• Vernon Smith, L.AC.
• Todd Ryan Smolinsky, MD
• Michael Henry Smyth, M.D.
• Ellen Kay Snook-Meyer, LVN
• Katrina Sofaly, LMSW

• Medical Physician Assistant in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.