Individual provider Active NPI

Kristin Smith-Roberts, NP-C

  • Primary Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1609308212
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP133672 Issued in TX
Practice address
909 9TH Ave Ste 201
Fort Worth, TX 76104-3916
Phone
(817) 870-5094
Fax
(817) 885-7352
NPI assigned
Apr 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 813237 TX
Primary Care Nurse Practitioner 363LP2300X AP133672 TX Primary

Addresses

Primary practice location

909 9TH Ave Ste 201
Fort Worth, TX 76104-3916

Mailing address

909 9TH Ave Ste 201
Fort Worth, TX 76104-3916
Phone (817) 870-5094

Other practice location 1

108 Denver Trl
Azle, TX 76020-3614
Phone (586) 899-1315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin.smithroberts@hca7.eclinicaldirectplus.com

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
I20170929001041 TX Practitioner - Nurse Practitioner 0244505394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates of North Texas PLLCGroup PAC ID 8921234832, 14 clinicians

Practice addresses (Care Compare)

909 9TH Ave
Suite 201
Fort Worth, TX 76104-3916
Phone (817) 870-5094

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
813237TXMDPrimary Care Nurse Practitioner
AP133672TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of North Texas PLLC CurrentSince Jun 26, 2017 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

909 9th Ave
Ste 201
Fort Worth, TX 76104
Phone (214) 575-5885

1200 Crawford Ave
Granbury, TX 76048
Phone (682) 205-3501

2025 Fort Worth Hwy
Ste 100
Weatherford, TX 76086
Phone (817) 594-6232

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

251 Crown Pointe Blvd
Willow Park, TX 76087
Phone (817) 489-7300

Interoperability endpoints

  • Direct secure messaging: kristin.smithroberts@hca7.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1609308212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043916",
            "telephone_number": "817-870-5094",
            "fax_number": "817-885-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043916",
            "telephone_number": "817-870-5094",
            "fax_number": "817-885-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Denver Trl",
            "address_purpose": "LOCATION",
            "city": "Azle",
            "state": "TX",
            "postal_code": "760203614",
            "country_code": "US",
            "telephone_number": "586-899-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-ROBERTS",
        "first_name": "KRISTIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "813237",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP133672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.smithroberts@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "909 9th Ave Ste 201",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.