Individual provider Active NPI

Smriti Shrestha

  • Family Nurse Practitioner
  • Sealy, TX
National Provider Identifier
1700534716
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1074764 Issued in TX
Practice address
1036 N Circle Dr
Sealy, TX 77474-3336
Phone
(281) 599-0300
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 827877 TX
Family Nurse Practitioner 363LF0000X 1074764 TX Primary

Addresses

Primary practice location

1036 N Circle Dr
Sealy, TX 77474-3336

Mailing address

1036 N Circle Dr
Sealy, TX 77474-3336
Phone (976) 877-0022

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
I20220815000439 TX Practitioner - Nurse Practitioner 7012390677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Om Sakthi P.a.Group PAC ID 1557332442, 3 clinicians

Practice addresses (Care Compare)

1036 N Circle Dr
Sealy, TX 77474-3336
Phone (979) 877-0022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
827877TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Om Sakthi P.a. CurrentSince Feb 22, 2023 Accepting new patients
Om Sakthi P.a. CurrentSince Feb 22, 2023 Accepting new patients

Locations

1036 N Circle Dr
Sealy, TX 77474
Phone (281) 302-6636

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1700534716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 N CIRCLE DR",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743336",
            "telephone_number": "976-877-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 N CIRCLE DR",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743336",
            "telephone_number": "281-599-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "SMRITI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "827877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1074764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sealy, TX

Sources for this page

Verify at the official NPI Registry.