Angela Rose Smith, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

216273 Issued in AR

Practice address

5901 Rock Springs Rd
Harrison, AR 72601-9773

Phone

(870) 577-3896

NPI assigned

Jun 14, 2021

Last updated

Jun 17, 2021By the provider in NPPES

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

Enrolled in AR, TN2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR, TN

  Medicare reassignment NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1396313615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 ROCK SPRINGS RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019773",
            "telephone_number": "870-577-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 ROCK SPRINGS RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019773",
            "telephone_number": "870-577-3896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Bch",
            "state": "FL",
            "postal_code": "334411612",
            "country_code": "US",
            "telephone_number": "561-309-7746",
            "fax_number": "954-843-7313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chadwick Leon Simpson, M. D.
• Joyce Sims, MHPP
• Lindsey Nicole Sims, D.C.
• Roberta Sims, MHPP
• Jennifer Smith Robinson, MHPP
• Asa Dean Smith, APRN
• Dalton Alan Smith, PT, DPT, ATC
• Jessica Smith, MHPP
• Justin Brett Smith, APRN
• Kayla Michelle Smith, PT, DPT

• Family Nurse Practitioner in Harrison, AR
• Providers in Harrison, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.