Maria Agnes Essien Smith, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0070234 Issued in OK

Practice address

10444 Greenbriar Place, Suite C
Ebenezer Health Care Services, PC
Oklahoma City, OK 73159-7660

Phone

(405) 378-2119

Fax

(405) 759-7022

NPI assigned

Jul 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1386674125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10444 GREENBRIAR PLACE SUITE C",
            "address_2": "EBENEZER HEALTH CARE SERVICES, PC",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597660",
            "telephone_number": "405-378-2119",
            "fax_number": "405-759-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10444 GREENBRIAR PLACE, SUITE C",
            "address_2": "EBENEZER HEALTH CARE SERVICES, PC",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597660",
            "telephone_number": "405-378-2119",
            "fax_number": "405-759-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARIA AGNES",
        "middle_name": "ESSIEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0070234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100056310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackinzee Lynn Smith, LMSW, LCSW
• Madison Elizabeth Smith, MSW
• Madison Nicole Smith
• Marcus John Smith, MD
• Marcus Lee Smith Sr.
• Mark Alan Smith, RN
• Marvin Eugene Smith
• Mary Leann Smith, MD
• Mary Rebecca Smith, P.T.
• Megan Smith

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.