Individual provider Active NPI

Kierra Smith

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1780272989
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1014445 Issued in TX
Practice address
6161 N State Highway 161 Ste 200
Irving, TX 75038-2220
Phone
(972) 358-7499
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1014445 TX Primary

Addresses

Primary practice location

6161 N State Highway 161 Ste 200
Irving, TX 75038-2220

Mailing address

6500 International Pkwy Ste 1000
Plano, TX 75093-8226

Other practice location 1

6161 N State Highway 161 Ste 200
Irving, TX 75038-2220
Phone (972) 258-7499

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
I20210325002483 TX Practitioner - Nurse Practitioner 0446667000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6161 N State Hwy 161
Irving, TX 75038-2220
Phone (972) 258-7499

7501 Lakeview Pkwy
Suite 130
Rowlett, TX 75088-9324
Phone (972) 463-3100

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1014445TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC Current Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

6161 State Highway 161
Ste 200
Irving, TX 75038
Phone (972) 257-7499

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • Direct secure messaging: kierra.smith@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1780272989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 INTERNATIONAL PKWY STE 1000",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 N STATE HIGHWAY 161 STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382220",
            "telephone_number": "972-358-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6161 N State Highway 161 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382220",
            "country_code": "US",
            "telephone_number": "972-258-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1014445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.