Nathaina Felicia Smith, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO2971 Issued in NV

Practice address

1302 W Craig Rd
North Las Vegas, NV 89032-0246

Phone

(702) 657-9555

Fax

(702) 657-9040

NPI assigned

Apr 19, 2017

Last updated

Oct 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eagle Home Health Agency, Inc Home health agency, Las Vegas, NV, CCN 297239
• Carewell Health Services, Inc Home health agency, Las Vegas, NV, CCN 297250
• Intermountain Health Homecare Home health agency, Las Vegas, NV, CCN 297155

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathainasmith@hcpnv.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intermountain Medical Holdings Nevada Inc

  dba Intermountain Health

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1245997279

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Healthcare Partners Medical Group Coats LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1487631917
  NPD
• Intermountain Medical Holdings Nevada Inc

  dba Intermountain Health Home Care

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1689882557
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carewell Health Services Inc.

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1124510615
  Care Compare affiliation
• Eagle Home Health Agency Inc

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1619355047
  Care Compare affiliation
• Intermountain Medical Holdings Nevada Inc

  dba Intermountain Health Home Care

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1689882557
  Care Compare affiliation

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1710411400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W CRAIG RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320246",
            "telephone_number": "702-657-9555",
            "fax_number": "702-657-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairless Hills",
            "state": "PA",
            "postal_code": "190301008",
            "country_code": "US",
            "telephone_number": "267-587-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHAINA",
        "middle_name": "FELICIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020763",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710411400",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DO2971",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marques Turand Smith
• Mary Carletta Smith
• Matthew Smith
• Michael Louis Smith, B.S.
• Miranda Smith, B.S., B.A.
• Nycole Smith
• Patricia Smith
• Raniell Smith
• Rosanetta Smith
• Samuel Smith

• Family Medicine Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.