Active NPI
Tammy Danise Smith, RN, CNS
- Adult Health Clinical Nurse Specialist
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- AP128551
- Practice address
- 5904 Summerfield Dr
Texarkana, TX 75503-4306 - Phone
- (430) 200-4350
- Fax
- (866) 337-1615
- NPI assigned
- Jul 27, 2015
- Last updated
- Aug 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | AP128551 | TX | Primary |
Addresses
Primary practice location
5904 Summerfield Dr
Texarkana, TX 75503-4306
Mailing address
5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone (430) 200-4350
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1220 N St
Suite 100
Nacogdoches, TX 75961-4010
Phone (936) 244-8114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etx Metabolic Syndrome Relief PLLC | Current | Accepting new patients | |
| Lavender and Lace Birth & Womens Health Services PLLC | Past | Accepting new patients | |
| East Texas Center for Metabolic Wellness LLC | Past | Accepting new patients |
Locations
1220 North St
Ste 100
Nacogdoches, TX 75961
Phone (214) 680-6993
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infusion Therapy Clinic/Center
- Nacogdoches, TX
- NPI 1154286755
-
- Family Medicine Physician
- Nacogdoches, TX
- NPI 1477563898
-
- Endocrinology, Diabetes & Metabolism Physician
- Nacogdoches, TX
- NPI 1164394417
-
- Midwife
- Timpson, TX
- NPI 1053670612
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NCHD Memorial Hospital
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
-
dba AccentCare Home Health of Texas
- Home Health Agency
- Longview, TX
- NPI 1669695722
-
dba Nacogdoches Medical Center
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1841675253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 SUMMERFIELD DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034306",
"telephone_number": "430-200-4350",
"fax_number": "866-337-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5904 SUMMERFIELD DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034306",
"telephone_number": "430-200-4350",
"fax_number": "866-337-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TAMMY",
"middle_name": "DANISE",
"credential": "RN, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "AP128551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.