Individual provider Active NPI

Haley Diana Smith, RN, NP-C

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1598049728
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
724898 Issued in TX
Practice address
2423 Williams Dr Ste 105
Georgetown, TX 78628-3200
Phone
(877) 800-5722
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 724898 TX Primary

Addresses

Primary practice location

2423 Williams Dr Ste 105
Georgetown, TX 78628-3200

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

2423 Williams Dr
Georgetown, TX 78628-3200
Phone (877) 800-5722

Other practice location 2

5700 E Interstate 20 Service Rd S
Willow Park, TX 76008-5115
Phone (817) 489-7300

Other practice location 3

891 Eureka St
Weatherford, TX 76086
Phone (817) 599-1200

Other practice location 4

802 Avenue J
Marble Falls, TX 78654-5125
Phone (877) 800-5722

Other identifiers 6

IdentifierTypeStateIssuer
0016SHOtherTXBCBS
2035487-01MedicaidTX
865N94OtherTXBCBS
2874786-01MedicaidTX
P01005507OtherTXPALMETTO RR
D07564OtherTXPALMETTO RR

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
I20120104000595 TX Practitioner - Nurse Practitioner 6103092663 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
724898TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Regional Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Lone Star Circle of Care CurrentSince Jun 3, 2013 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Lone Star Circle of Care Current Accepting new patients
Lone Star Circle of Care CurrentSince Jun 3, 2013 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 105
Georgetown, TX 78628

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

802 Avenue J
Marble Falls, TX 78654
Phone (830) 693-9729

1761 State Highway 46 S
Ste 104
New Braunfels, TX 78130
Phone (830) 401-7558

3950 N A W Grimes Blvd
Ste N301A
Round Rock, TX 78665
Phone (512) 524-9274

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Interoperability endpoints

  • Direct secure messaging: haley.smith.2@29821.direct.athenahealth.com
  • Direct secure messaging: haley.smith.p1@direct.lscctx.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1598049728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283200",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2423 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786283200",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 E Interstate 20 Service Rd S",
            "address_purpose": "LOCATION",
            "city": "Willow Park",
            "state": "TX",
            "postal_code": "760085115",
            "country_code": "US",
            "telephone_number": "817-489-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "891 Eureka St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "76086",
            "country_code": "US",
            "telephone_number": "817-599-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Avenue J",
            "address_purpose": "LOCATION",
            "city": "Marble Falls",
            "state": "TX",
            "postal_code": "786545125",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HALEY",
        "middle_name": "DIANA",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "724898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0016SH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035487-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "865N94",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2874786-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR",
            "identifier": "P01005507",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR",
            "identifier": "D07564",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.