Regina Chanelle Smith, RN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

578436 Issued in TX

Practice address

2846 Alcott LN
Grand Prairie, TX 75052-8345

Phone

(972) 606-4908

NPI assigned

Jun 16, 2010

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

Registered Nurse

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 and National Provider Directory roles.

• Simon'S Heart P.C.

  • Case Management Agency
  • Grand Prairie, TX
  • NPI 1386976645
  NPD (past) Authorized official

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1821319559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 W CAMP WISDOM RD",
            "address_2": "SUITE, 100 - #137",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523088",
            "telephone_number": "972-606-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 ALCOTT LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528345",
            "telephone_number": "972-606-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REGINA",
        "middle_name": "CHANELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "578436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmyn Smith
• Joan Smith, NP
• Keena Smith
• Kristiana Dannielle Smith
• Latonia Shante Smith, DDS
• Tamiko Smith
• Larry Snow, LCSW
• Martha Jeanne Snyder, FNP
• Solar Dental and Orthodontics PLLC
• Solar Homecare Inc

• Case Manager/Care Coordinator in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.