Individual provider Active NPI

Aneicha Smith, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1629467006
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP126722 Issued in TX
Practice address
703 S Fleishel Ave
Tyler, TX 75701-2015
Phone
(903) 606-7525
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP126722 TX
Acute Care Nurse Practitioner 363LA2100X AP126722 TX Primary

Addresses

Primary practice location

703 S Fleishel Ave
Tyler, TX 75701-2015

Mailing address

2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-1599

Other practice location 1

2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-1599

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
I20150429000752 TX Practitioner - Nurse Practitioner 5294054003 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Heart Hospital of the Southwest LLP CurrentSince Jul 9, 2022 Accepting new patients
Etmc Physician Group Inc. CurrentSince Oct 1, 2022 Accepting new patients
North Texas Critical Care PA CurrentSince Mar 15, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 3, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 3, 2022 Accepting new patients
Etmc Physician Group Inc. CurrentSince Oct 1, 2022 Accepting new patients

Locations

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

703 S Fleishel Ave
Tyler, TX 75701
Phone (903) 606-3000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: asmith833541@ahs.direct-ci.com
  • Direct secure messaging: asmith290080@christushealth.direct-ci.net

Organizations & group practices 7

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1629467006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045900",
            "telephone_number": "214-821-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012015",
            "telephone_number": "903-606-7525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Swiss Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752045900",
            "country_code": "US",
            "telephone_number": "214-821-1599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANEICHA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126722",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP126722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.