Active NPI
James Luby Smith, RN
- Registered Nurse
- New Braunfels, TX
National Provider Identifier
1508018995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 620631
- Practice address
- 511 E North St
New Braunfels, TX 78130-4247 - Phone
- (830) 625-7359
- Fax
- (830) 625-7364
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 620631 | TX | Primary |
Addresses
Primary practice location
511 E North St
New Braunfels, TX 78130-4247
Mailing address
819 Water St Ste 300
Kerrville, TX 78028-5330
Phone (830) 258-5430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620631 | Other | TX | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 620631 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community MHMR Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Kerrville, TX
- NPI 1841304201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1508018995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 WATER ST STE 300",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285330",
"telephone_number": "830-258-5430",
"fax_number": "830-792-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E NORTH ST",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304247",
"telephone_number": "830-625-7359",
"fax_number": "830-625-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "LUBY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "620631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "620631",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.