Individual provider Active NPI

Lily Jiadrin Smolinski, FNP-C

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1821511809
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201705219NP-PP Issued in OR
Practice address
17903 W Lake Houston Pkwy Ste 201
Humble, TX 77346-3954
Phone
(281) 446-7173
Fax
(281) 446-3841
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 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 201705219NP-PP OR Primary

Addresses

Primary practice location

17903 W Lake Houston Pkwy Ste 201
Humble, TX 77346-3954

Mailing address

17903 W Lake Houston Pkwy Ste 201
Humble, TX 77346-3954
Phone (281) 446-7173

Other practice location 1

1813 W Harvard Ave
Roseburg, OR 97471-2752
Phone (541) 440-6390

Other identifiers 1

IdentifierTypeStateIssuer
AP143213OtherTXFAMILY NURSE PRACTITIONER

Other names 1

  • Lily Wu Former name

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
I20210330000041 TX Practitioner - Nurse Practitioner 1052684313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1414 Green Oak Terrace CT
Suite 200
Kingwood, TX 77339-2960
Phone (832) 846-5551

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

24510 Kingsland Blvd
Katy, TX 77494-3429
Phone (281) 394-2390

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201705219NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Jun 2, 2023 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jun 2, 2023 Accepting new patients
Mehta Medical Group PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1702 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 446-7371

17903 W Lake Houston Pkwy
Ste 201
Humble, TX 77346
Phone (281) 446-7371

24510 Kingsland Blvd
Katy, TX 77494
Phone (281) 394-2390

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: lily.smolinski.1@8042.direct.athenahealth.com

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 11

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": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1821511809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17903 W LAKE HOUSTON PKWY STE 201",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463954",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17903 W LAKE HOUSTON PKWY STE 201",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463954",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 W Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974712752",
            "country_code": "US",
            "telephone_number": "541-440-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOLINSKI",
        "first_name": "LILY",
        "middle_name": "JIADRIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201705219NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "AP143213",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "WU",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.