Active NPI
Allison Mary Smith, FNP-C
- Family Nurse Practitioner
- Grand Prairie, TX
National Provider Identifier
1427692722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 143842
- Practice address
- 2701 Osler Dr Ste 2
Grand Prairie, TX 75051-8386 - Phone
- (972) 639-3992
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9469640 | FL | |
| Registered Nurse | 163W00000X | 229054-30 | WI | |
| Registered Nurse | 163W00000X | 979167 | TX | |
| Family Nurse Practitioner | 363LF0000X | 143842 | TX | Primary |
Addresses
Primary practice location
2701 Osler Dr Ste 2
Grand Prairie, TX 75051-8386
Mailing address
438 Whispering Willow Dr
Midlothian, TX 76065-2263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9469640 | FL | MD | Registered Nurse |
| 979167 | TX | MD | Registered Nurse |
| 229054-30 | WI | MD | Registered Nurse |
| 143842 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyrad Health, PLLC | Current | Accepting new patients | |
| PA Smith LLC | Current | Accepting new patients |
Locations
2701 Osler Dr
Ste 2
Grand Prairie, TX 75051
Phone (972) 639-3992
Organizations & group practices 2
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.
-
dba Visiting Angels Fort Atkinson
- In Home Supportive Care Agency
- Fort Atkinson, WI
- NPI 1629824982
-
- General Practice Physician
- Grand Prairie, TX
- NPI 1285324731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1427692722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 WHISPERING WILLOW DR",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760652263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 OSLER DR STE 2",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750518386",
"telephone_number": "972-639-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALLISON",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9469640",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "229054-30",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "979167",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "143842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.