Active NPI
Lise Nicole Smith, H.I.S
- Audiologist-Hearing Aid Fitter
- San Antonio, TX
National Provider Identifier
1629468798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 80574
- Practice address
- 5230 De Zavala Rd Ste 212
San Antonio, TX 78249-1731 - Phone
- (210) 580-8251
- Fax
- (210) 568-8249
- NPI assigned
- Jan 28, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 80574 | TX | Primary |
Addresses
Primary practice location
5230 De Zavala Rd Ste 212
San Antonio, TX 78249-1731
Mailing address
5230 De Zavala Rd Ste 212
San Antonio, TX 78249-1731
Phone (210) 580-8251
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80574 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1629468798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 DE ZAVALA RD STE 212",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782491731",
"telephone_number": "210-580-8251",
"fax_number": "210-568-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 DE ZAVALA RD STE 212",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782491731",
"telephone_number": "210-580-8251",
"fax_number": "210-568-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LISE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "H.I.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "80574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.