Active NPI
Andrea Lynn Smith, APRN-CNP
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 83271
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83271 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Variety Care, Inc. | Current | Accepting new patients | |
| Variety Care, Inc. | Current | Accepting new patients | |
| Variety Care, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1780697813
-
- Federally Qualified Health Center (FQHC)
- Norman, OK
- NPI 1427228352
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1942045455
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.