Adrienne Smith, APRN, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1011778 Issued in TX

Practice address

520 E Vine St Unit 2443
Keller, TX 76244-3902

Phone

(254) 640-9118

NPI assigned

Jun 16, 2021

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

State licenses

Practice roles

Locations

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.

• Wort Wellbeing Women'S Clinic, PLLC

  • Women's Health Nurse Practitioner
  • Keller, TX
  • NPI 1134799018
  NPD Authorized official

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1831767722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 DAPPLE DR APT 1221",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449002",
            "telephone_number": "254-640-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E VINE ST UNIT 2443",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762443902",
            "telephone_number": "254-640-9118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Dapple Dr Apt 1221",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762449002",
            "country_code": "US",
            "telephone_number": "254-640-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADRIENNE",
        "name_prefix": "Ms.",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1011778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Sizemore
• Brooke Elizabeth Skrivanek, LMFT
• Sky Creek Dental
• Delaney E Slate, BCBA
• Carissa Small
• Carly Mae Smith, OTR
• Chelsea Michelle Smith
• David Harrison Smith, D.C.
• Kimberly Jill Smith, LPC
• Samantha Smith

• Women's Health Nurse Practitioner in Keller, TX
• Providers in Keller, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.