Individual provider Active NPI

Andrea Lynn Smith, APRN-CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1831737667
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83271 Issued in OK
Practice address
11220 N Rockwell Ave
Oklahoma City, OK 73162-2725
Phone
(405) 632-6688
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 83271 OK Primary
Registered Nurse 163W00000X 83271 OK

Addresses

Primary practice location

11220 N Rockwell Ave
Oklahoma City, OK 73162-2725

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220427000556 OK Practitioner - Nurse Practitioner 4486041126 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
Group practices
Variety Care, Inc.Group PAC ID 1557260007, 101 clinicians

Practice addresses (Care Compare)

1025 Straka Ter
Oklahoma City, OK 73139-2544
Phone (405) 632-6688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83271OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Variety Care, Inc. CurrentSince Mar 28, 2022 Accepting new patients
Variety Care, Inc. Current Accepting new patients
Variety Care, Inc. CurrentSince Mar 28, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

718 W Petree Rd
Anadarko, OK 73005

111 W Main St
Fort Cobb, OK 73038

1237 Alameda St
Norman, OK 73071
Phone (405) 321-4511

317 E Himes St
Norman, OK 73069
Phone (405) 329-4161

3851 Tinker Rd
Oklahoma City, OK 73115
Phone (405) 677-1129

4000 W Reno Ave
Oklahoma City, OK 73107

11220 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 722-9474

721 W Britton Rd
Oklahoma City, OK 73114
Phone (405) 607-5757

3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209

4021 S Walker Ave
Ste 201
Oklahoma City, OK 73109
Phone (405) 246-3950

500 SW 44th St
Oklahoma City, OK 73109
Phone (405) 235-6466

2617 General Pershing Blvd
Oklahoma City, OK 73107
Phone (405) 858-1700

1025 Straka Ter
Oklahoma City, OK 73139
Phone (405) 629-5281

5320 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 605-0316

4023 NW 10th St
Oklahoma City, OK 73107

2400 NW 36th St
Ste 100
Oklahoma City, OK 73112
Phone (405) 326-6688

508 W Vandament Ave
Ste 210
Yukon, OK 73099
Phone (405) 350-0200

Interoperability endpoints

  • Direct secure messaging: asmith588110@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1831737667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 N ROCKWELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731622725",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "83271",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "83271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.