Individual provider Active NPI

Allyson Smith, NP

  • Family Nurse Practitioner
  • Colleyville, TX
National Provider Identifier
1700360286
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117139 Issued in TX
Practice address
5232 Colleyville Blvd Ste 100
Colleyville, TX 76034-7827
Phone
(817) 912-9920
Fax
(817) 498-0635
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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 117139 TX Primary

Addresses

Primary practice location

5232 Colleyville Blvd Ste 100
Colleyville, TX 76034-7827

Mailing address

2600 Stillwater CT
Flower Mound, TX 75022-8038
Phone (469) 993-6535

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asmith440294@direct.sw.org

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
I20191009000272 TX Practitioner - Nurse Practitioner 7517298391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4325 N Josey Lane
200 Baylor Scott and White Community Care C
Carrollton, TX 75010-4637
Phone (469) 800-1200

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117139TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Apr 1, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 1, 2021 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

4325 N Josey Ln
Ste 200
Carrollton, TX 75010
Phone (469) 800-1200

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

5232 Colleyville Blvd
Ste 100
Colleyville, TX 76034
Phone (817) 909-0925

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 3

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1700360286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STILLWATER CT",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750228038",
            "telephone_number": "469-993-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 COLLEYVILLE BLVD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347827",
            "telephone_number": "817-912-9920",
            "fax_number": "817-498-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALLYSON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "117139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asmith440294@direct.sw.org",
            "affiliation": "N",
            "address_1": "5232 Colleyville Blvd Ste 100",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760347827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.