Individual provider Active NPI

Nicole Teresa Smith

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1366074452
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123650 Issued in AR
Practice address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone
(501) 686-8000
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 123650 AR Primary

Addresses

Primary practice location

4301 W Markham St # 783
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

16 Turquoise Cv
Greenbrier, AR 72058-8907
Phone (402) 802-2019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NE, MT, WV, KY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200813002885 AR Practitioner - Nurse Practitioner 3173949633 Reassigns benefits to 2 organizations
I20250828003107 NE Practitioner - Nurse Practitioner 3173949633 Reassigns benefits to 2 organizations
I20260318002925 MT Practitioner - Nurse Practitioner 3173949633 Reassigns benefits to 1 organization
I20260331001074 WV Practitioner - Nurse Practitioner 3173949633 Reassigns benefits to 1 organization
I20260527003838 KY Practitioner - Nurse Practitioner 3173949633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pursuecare, LLCGroup PAC ID 4587998927, 26 clinicians

Practice addresses (Care Compare)

1308 4TH Ave
Huntington, WV 25701-2401
Phone (866) 744-1930

3058 C Charles Town Rd
Kearneysville, WV 25430-2669
Phone (860) 245-8553

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123650ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Aug 10, 2020 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Her Story LLC CurrentSince Jul 30, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 10, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

16934 Frances St
Ste 101
Omaha, NE 68130
Phone (402) 234-7460

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1366074452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Turquoise Cv",
            "address_purpose": "LOCATION",
            "city": "Greenbrier",
            "state": "AR",
            "postal_code": "720588907",
            "country_code": "US",
            "telephone_number": "402-802-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.