Alisha Brooke Smith, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Harrah, OK
NPI 1487900668 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1487900668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 75434 (OK)
- Practice address
- 18961 NE 23Rd St
Harrah, OK 73045-8109 - Phone
- (405) 390-1800
- Fax
- (405) 390-3846
- NPI assigned
- Jul 25, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saints Medical Group, LLC
Practice addresses (Care Compare)
608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000
Hospital & facility affiliations
- SSM Health at Home Home Health - Oklahoma
- SSM Health St Anthony Hospital - Oklahoma City
- SSM Health St Anthony Hospital - Midwest
- O U Medical Center
- SSM Health St Anthony Hospital - Shawnee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120914000264 | OK | Practitioner - Nurse Practitioner | 0244488336 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75434 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care of Oklahoma, Inc | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| SSM Health Care of Oklahoma Inc | Current |
Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Current |
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 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
Interoperability endpoints
- asmith110231@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 75434 | OK | |
| Family Nurse Practitioner | 363LF0000X | 75434 | OK | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asmith110231@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Harrah, OK
- David Martin Reed
- Michael Steven Reed Jr.
- Sage Primary Health PLLC
- Saint Medical Group, LLC
- Carly Rae Scallorn
- Trisha Dawn Stevens
- Cynthia Stober
- Jennifer Swank
- Suzanne Tarver
- The Family Care Center of Harrah, Inc.
All providers in Harrah, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.