Saundra B Smith, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

253967 Issued in TX

Practice address

950 N 14TH St
Suite 100
Beaumont, TX 77702-1101

Phone

(409) 833-5858

Fax

(409) 833-1155

NPI assigned

Dec 21, 2007

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 names 1

• Saundra Bradley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1760666085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N 14TH ST",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021101",
            "telephone_number": "409-833-5858",
            "fax_number": "409-833-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 14TH ST",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021101",
            "telephone_number": "409-833-5858",
            "fax_number": "409-833-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAUNDRA",
        "middle_name": "B",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "253967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAUNDRA",
            "last_name": "BRADLEY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeline Grace Smith, LAT, ATC
• Michael Leigh Smith, M.D.
• Paul Anthony Smith, LMT
• Quanah Ann Smith
• Robert Lee Smith, DDS
• Shakenia Smith
• Shelley M Smith, OT
• Taylor Michael Smith, PMHNP, FNP
• Tony Smith, LBSW
• Vanessa Randel Smith, M.S. SLP

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.