Individual provider Active NPI

Ruth Edith Samble Smith, APRN

  • Critical Care Pediatric Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1891115705
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
668112 Issued in TX
Practice address
1201 N Mesa St Ste G
El Paso, TX 79902-4000
Phone
(915) 267-1195
Fax
(915) 267-1193
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 668112 TX Primary

Addresses

Primary practice location

1201 N Mesa St Ste G
El Paso, TX 79902-4000

Mailing address

1201 N Mesa St Ste G
El Paso, TX 79902-4000
Phone (915) 267-1195

Other practice location 1

12220 Rc Poe Rd Ste A
El Paso, TX 79938-4921
Phone (915) 267-1195

Other identifiers 1

IdentifierTypeStateIssuer
AP125340OtherTXTEXAS NURSING BOARD

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
I20140602000917 TX Practitioner - Nurse Practitioner 5193948644 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
668112TXMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1891115705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MESA ST STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024000",
            "telephone_number": "915-267-1195",
            "fax_number": "915-267-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MESA ST STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024000",
            "telephone_number": "915-267-1195",
            "fax_number": "915-267-1193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12220 Rc Poe Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799384921",
            "country_code": "US",
            "telephone_number": "915-267-1195",
            "fax_number": "915-267-1193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMBLE SMITH",
        "first_name": "RUTH",
        "middle_name": "EDITH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TX",
            "license": "668112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS NURSING BOARD",
            "identifier": "AP125340",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.