Individual provider Active NPI

Pennie N Smith

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1487350054
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1073598 Issued in TX
Practice address
8588 Katy Fwy Ste 226a
Houston, TX 77024-1881
Phone
(713) 532-6884
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1073598 TX Primary

Addresses

Primary practice location

8588 Katy Fwy Ste 226a
Houston, TX 77024-1881

Mailing address

12038 Fairquarter LN
Pinehurst, TX 77362-1525
Phone (832) 816-0709

Other practice location 1

12130 Greenspoint Dr
Houston, TX 77060-2002
Phone (832) 816-0709

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
I20250417000036 TX Practitioner - Nurse Practitioner 3274058763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians

Practice addresses (Care Compare)

Houston, TX 77024
Phone (713) 532-6884

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2025 Accepting new patients
PCP for Life PA Past Accepting new patients

Locations

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABHJAA
  • Direct secure messaging: pennie.smith.1@32913.direct.athenahealth.com

Organizations & group practices 4

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1487350054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12038 FAIRQUARTER LN",
            "city": "PINEHURST",
            "state": "TX",
            "postal_code": "773621525",
            "telephone_number": "832-816-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8588 KATY FWY STE 226A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241881",
            "telephone_number": "713-532-6884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12130 Greenspoint Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770602002",
            "country_code": "US",
            "telephone_number": "832-816-0709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PENNIE",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.