Stanley Eugene Smith
Individual provider Active NPI Family Nurse Practitioner · Norman, OK
NPI 1780141747 · NPPES record last updated Sep 14, 2025
Key facts
- NPI
- 1780141747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 72145 (OK)
- Practice address
- 3651 W Robinson St
Norman, OK 73072-3628 - Phone
- (405) 360-5406
- NPI assigned
- Feb 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ennoble HC NJ PC
Practice addresses (Care Compare)
3209 S Broadway
Suite 229
Edmond, OK 73013-4064
Phone (551) 295-8223
Hospital & facility affiliations
- Lifeline Home Health Care, Inc
- Lifespring Home Health
- Compassionate Home Health of Okc
- Phoenix Home Health Agency, LLC
- Elara Caring XX
- Grady Memorial Hospital
- Norman Regional
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200211000525 | OK | Practitioner - Nurse Practitioner | 6204262249 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72145 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ III PC | Current |
Accepting new patients | |
| Ennoble HC NJ II PC | Current |
Accepting new patients | |
| Meridian Long Term Care Services LLC | Current |
Accepting new patients | |
| Ennoble HC NJ PC | Current |
Accepting new patients | |
| Physician Housecalls LLC | Current |
Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223
101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058
Interoperability endpoints
- https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 72145 | OK | Yes |
Addresses
Primary practice location
3651 W Robinson St
Norman, OK 73072-3628
Mailing address
2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223
Other practice location 1
101 W Hefner Rd
Oklahoma City, OK 73114-6631
Phone (551) 295-8223
Other practice location 2
3209 S Broadway Ste 229
Edmond, OK 73013-4064
Phone (551) 295-8223
NPI Registry JSON
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757808000000",
"number": "1780141747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 204",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016211",
"telephone_number": "551-295-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 W ROBINSON ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723628",
"telephone_number": "405-360-5406"
}
],
"practiceLocations": [
{
"address_1": "101 W Hefner Rd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731146631",
"country_code": "US",
"telephone_number": "551-295-8223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3209 S Broadway Ste 229",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730134064",
"country_code": "US",
"telephone_number": "551-295-8223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "STANLEY",
"middle_name": "EUGENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-26",
"last_updated": "2025-09-14",
"certification_date": "2025-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "72145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
- Raegan B Smith
- Robyn Allison Smith
- Savante Smith
- Shantel Smith
- Sierra Smith
- Susan R Smith
- Taylor Smith
- Thomas Smith
- Twyla Jean Smith
- Emily Smithson
All providers in Norman, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.