Active NPI
Brandy Michelle Smith, FNP
- Nurse Practitioner
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP134845
- Practice address
- 99 Quail Brook Dr
Texarkana, TX 75501-2062 - Phone
- (903) 733-4932
- NPI assigned
- Oct 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | AP134845 | TX | |
| Nurse Practitioner | 363L00000X | AP134845 | TX | Primary |
Addresses
Primary practice location
99 Quail Brook Dr
Texarkana, TX 75501-2062
Mailing address
99 Quail Brook Dr
Texarkana, TX 75501-2062
Phone (903) 733-4932
Other practice location 1
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-2666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2602 Saint Michael Dr
Suite 201B
Texarkana, TX 75503-2320
Phone (903) 614-5530
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP134845 | TX | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Past | Accepting new patients |
Locations
2604 Saint Michael Dr
Ste 238
Texarkana, TX 75503
Phone (903) 614-5480
2602 Saint Michael Dr
Ste 202
Texarkana, TX 75503
Phone (903) 614-5260
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- bsmith323268@christushealth.direct-ci.net
Organizations & group practices 3
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 Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1447761390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 QUAIL BROOK DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755012062",
"telephone_number": "903-733-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 QUAIL BROOK DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755012062",
"telephone_number": "903-733-4932"
}
],
"practiceLocations": [
{
"address_1": "2600 Saint Michael Dr",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755032372",
"country_code": "US",
"telephone_number": "903-614-2666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BRANDY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "AP134845",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP134845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.