NPIMap

Individual provider Active NPI

Alisha Brooke Smith, APRN-CNP

  • Family Nurse Practitioner
  • Harrah, OK
National Provider Identifier
1487900668
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75434 Issued in OK
Practice address
18961 NE 23Rd St
Harrah, OK 73045-8109
Phone
(405) 390-1800
Fax
(405) 390-3846
NPI assigned
Jul 25, 2012
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 75434 OK
Family Nurse Practitioner 363LF0000X 75434 OK Primary

Addresses

Primary practice location

18961 NE 23Rd St
Harrah, OK 73045-8109

Mailing address

18961 NE 23Rd St
Harrah, OK 73045-8109
Phone (405) 390-1800

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address asmith110231@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000264 OK Practitioner - Nurse Practitioner 0244488336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc Current Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 14, 2018 Accepting new patients
SSM Health Care of Oklahoma, Inc. CurrentSince Apr 1, 2014 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Apr 1, 2014 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 14, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

15679 NE 23rd St
Choctaw, OK 73020
Phone (405) 390-1800

18961 NE 23rd St
Harrah, OK 73045
Phone (405) 390-1800

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

Interoperability endpoints

  • Direct secure messaging: asmith110231@direct-ehr-ssmhc.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1487900668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18961 NE 23RD ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730458109",
            "telephone_number": "405-390-1800",
            "fax_number": "405-390-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18961 NE 23RD ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730458109",
            "telephone_number": "405-390-1800",
            "fax_number": "405-390-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALISHA",
        "middle_name": "BROOKE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "75434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "75434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asmith110231@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "asmith110231@direct-ehr-ssmhc.com",
            "address_1": "15679 NE 23rd St",
            "city": "Choctaw",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730208592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "15679 NE 23rd St",
            "city": "Choctaw",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730208592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrah, OK

Sources for this page

Verify at the official NPI Registry.