Individual provider Active NPI

Traci Dawn Smith, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1649761990
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137558 Issued in TX
Practice address
1515 Holcombe Blvd
Houston, TX 77030
Phone
(713) 792-6161
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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 AP137558 TX Primary

Addresses

Primary practice location

1515 Holcombe Blvd
Houston, TX 77030

Mailing address

P O Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991

Other names 1

  • Ms. Traci Dawn Woody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180724001911 TX Practitioner - Nurse Practitioner 1850648759 Reassigns benefits to 5 organizations
I20230808001413 NM Practitioner - Nurse Practitioner 1850648759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maverick Emergency Medicine Associates PAGroup PAC ID 6002878337, 12 clinicians

Practice addresses (Care Compare)

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Phone (830) 773-5321

4900 N Lovington Hwy
Hobbs Hospital
Hobbs, NM 88240-9109
Phone (575) 492-5000

Hospital & facility affiliations

  • Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137558TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Odessa Physician Associates, PLLC CurrentSince May 3, 2019 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC CurrentSince Mar 14, 2023 Accepting new patients
Guadalupe Emergency Medicine Associates, PA CurrentSince Jun 6, 2018 Accepting new patients
Oleander Emergency Medicine Associates PA CurrentSince Apr 8, 2019 Accepting new patients
St Joseph Emergency Physicians PLLC Current Accepting new patients
St Joseph Emergency Physicians PLLC CurrentSince Apr 18, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Methodist Health Centers PastSince Feb 10, 2022 Accepting new patients

Locations

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

900 E 4th St
Odessa, TX 79761
Phone (432) 362-9900

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

Interoperability endpoints

  • Direct secure messaging: tsmith404571@directhoustonmethodist.org

Organizations & group practices 9

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1649761990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 4439",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104439",
            "telephone_number": "713-792-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-792-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACI",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "WOODY",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.