Individual provider Active NPI

Allison Mary Smith, FNP-C

  • Family Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1427692722
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
143842 Issued in TX
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

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9469640FLMDRegistered Nurse
979167TXMDRegistered Nurse
229054-30WIMDRegistered Nurse
143842TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lyrad Health, PLLC CurrentSince May 14, 2023 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.

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.

Verify at the official NPI Registry.