Individual provider Active NPI

Tonia Smith, APN

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1861638512
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
707199 Issued in TX
Practice address
6777 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-7156
Phone
(817) 646-9699
Fax
(817) 259-2284
NPI assigned
Dec 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 707199 TX Primary

Addresses

Primary practice location

6777 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-7156

Mailing address

6777 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-7156
Phone (817) 646-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
707199TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Psychiatry of North Texas, PLLC CurrentSince Apr 6, 2025 Accepting new patients

Locations

6777 Camp Bowie Blvd
Ste 100
Fort Worth, TX 76116
Phone (817) 646-9699

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1861638512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167156",
            "telephone_number": "817-646-9699",
            "fax_number": "817-259-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167156",
            "telephone_number": "817-646-9699",
            "fax_number": "817-259-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TONIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "707199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.