Individual provider Active NPI

Tammy Danise Smith, RN, CNS

  • Adult Health Clinical Nurse Specialist
  • Texarkana, TX
National Provider Identifier
1841675253
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP128551 Issued in TX
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151228002268 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 8527369040 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Etx Metabolic Syndrome Relief PLLC CurrentSince Jan 6, 2026 Accepting new patients
Lavender and Lace Birth & Womens Health Services PLLC Past Accepting new patients
East Texas Center for Metabolic Wellness LLC PastSince Sep 21, 2025 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.