Tyangala Bracey Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904739 Issued in MS

Practice address

12104 Harmony Cir
Gulfport, MS 39503-9534

Phone

(601) 454-9778

NPI assigned

Aug 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

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1861167363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 HARMONY CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039534",
            "telephone_number": "601-454-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12104 HARMONY CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039534",
            "telephone_number": "601-454-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYANGALA",
        "middle_name": "BRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mabry Smith, MD
• Maggie Elizabeth Smith, DPT
• Mandi Elkins Smith, O.D.
• Mary-Ouida Smith, DMD
• Shelly Smith, RBT
• Victoria Roberts Smith
• Anne Hancock Smits, PA-C
• Christine Annette Smothers, L.P.C.
• Isabelle Snelling
• Sol to Soul Counseling, LLC

• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Nurse Practitioner in Mississippi

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