Individual provider Active NPI

Angel Smith, AGNP

  • Adult Health Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1467859470
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP126385 Issued in TX
Practice address
1701 Legacy Dr
Ste 2000
Frisco, TX 75034-5987
Phone
(214) 494-8340
NPI assigned
Nov 20, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP126385 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP126385 TX

Addresses

Primary practice location

1701 Legacy Dr
Ste 2000
Frisco, TX 75034-5987

Mailing address

1701 Legacy Drive Suite 2000
Frisco, TX 75034

Other practice location 1

7322 Southwest Fwy Ste 160
Houston, TX 77074-2073
Phone (713) 532-6884

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122001159 TX Practitioner - Nurse Practitioner 8426317348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP126385TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince May 5, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 1, 2018 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 1, 2018 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince May 5, 2021 Accepting new patients

Locations

7322 Southwest Fwy
Ste 160
Houston, TX 77074
Phone (713) 532-6884

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

15200 Southwest Fwy
Sugar Land, TX 77478
Phone (346) 646-3302

15200 Southwest Fwy
Ste 175
Sugar Land, TX 77478
Phone (281) 494-0550

Interoperability endpoints

  • Direct secure messaging: angel.smith.1@13711.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467859470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LEGACY DRIVE SUITE 2000",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LEGACY DR",
            "address_2": "STE 2000",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345987",
            "telephone_number": "214-494-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7322 Southwest Fwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770742073",
            "country_code": "US",
            "telephone_number": "713-532-6884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGEL",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP126385",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP126385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.