Chanell Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

123574 Issued in AR

Practice address

2801 S University Ave # Dsc102
Little Rock, AR 72204-1000

Phone

(501) 569-3188

NPI assigned

Mar 31, 2020

Last updated

Mar 31, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Arkansas Little Rock

  dba UALR Health Services

  • Student Health Clinic/Center
  • Little Rock, AR
  • NPI 1346676699
  NPD (past)

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1740818137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S UNIVERSITY AVE # DSC102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S UNIVERSITY AVE # DSC102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041000",
            "telephone_number": "501-569-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHANELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Keith Smith
• Bryunna Smith, QBHP
• Candi Smith
• Carey Smith, QBHP
• Chandra Dione Smith, APRN, CPNP
• Charles Wilson Smith Jr., M.D.
• Chasney Smith
• Christopher Smith, MD
• Christy Michelle Smith, LCSW
• Clark Lander Smith, M.D.

• Family Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.