Margaret Jan Smith, RN, MSN, FNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F1207131 Issued in TX

Practice address

700 Olympic Plaza Cir Ste 600
Etmc Orthopedic Institute
Tyler, TX 75701-1954

Phone

(903) 596-3844

Fax

(903) 596-3843

NPI assigned

Mar 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Dallas Geriatrics Associates, P.a

  • Geriatric Medicine (Family Medicine) Physician
  • Balch Springs, TX
  • NPI 1629258058
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1669644191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 EMERALD BAY DR",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757579367",
            "telephone_number": "903-477-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 600",
            "address_2": "ETMC ORTHOPEDIC INSTITUTE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011954",
            "telephone_number": "903-596-3844",
            "fax_number": "903-596-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARGARET",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "F1207131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP-C LICENSE",
            "identifier": "F1207131",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "687363",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Smith
• Kyle James Smith, MD
• Lacey Smith
• Larissa Smith, LCSW
• Lewis G Smith III, MD
• Mary Suzanne Smith
• Maryah Smith
• Maryellen Warro Smith, P.A.
• Melody Rene Smith, PHARMD
• Molly Smith

• Adult Health Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.