Individual provider Active NPI

Laurette Nasrat Smith, MD

  • Obstetrics & Gynecology Physician
  • Cedar Park, TX
National Provider Identifier
1669474912
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K7899 Issued in TX
Practice address
1120 Cottonwood Creek TRL Ste 180B
Cedar Park, TX 78613-6652
Phone
(512) 827-3438
Fax
(512) 623-7301
NPI assigned
Jun 1, 2005
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K7899 TX Primary

Addresses

Primary practice location

1120 Cottonwood Creek TRL Ste 180B
Cedar Park, TX 78613-6652

Mailing address

12201 Renfert Way
Ste 200
Austin, TX 78758-5369
Phone (512) 339-6626

Other practice location 1

4818 Berkman Dr Ste 100
Austin, TX 78723-4697
Phone (512) 640-6990

Other identifiers 3

IdentifierTypeStateIssuer
044521502MedicaidTX
1669474912OtherTXNPI
K7899OtherTXSTATE LICENSE

Other names 1

  • Dr. Laurette Nasrat Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 10, 2022 through Nov 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1669474912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585369",
            "telephone_number": "512-339-6626",
            "fax_number": "512-425-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 COTTONWOOD CREEK TRL STE 180B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136652",
            "telephone_number": "512-827-3438",
            "fax_number": "512-623-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4818 Berkman Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787234697",
            "country_code": "US",
            "telephone_number": "512-640-6990",
            "fax_number": "512-640-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURETTE",
        "middle_name": "NASRAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K7899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044521502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669474912",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "K7899",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURETTE",
            "last_name": "SMITH",
            "middle_name": "NASRAT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.