Individual provider Active NPI

Katelyn Smith, DO

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1891376604
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W1507 Issued in TX
Practice address
7109 N Bartlett Ave Ste 101
Laredo, TX 78041-6473
Phone
(956) 717-5775
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X W1507 TX Primary

Addresses

Primary practice location

7109 N Bartlett Ave Ste 101
Laredo, TX 78041-6473

Mailing address

7109 N Bartlett Ave Ste 101
Laredo, TX 78041-6473
Phone (956) 717-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240812000810 MO Practitioner - Family Practice 3678011558 Reassigns benefits to 2 organizations
I20251222001668 TX Practitioner - Family Practice 3678011558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1515 Pappas St
Laredo, TX 78041-1705

7109 N Bartlett Ave
Suite 101
Laredo, TX 78041-6473

7440 Mintwood LN
Spring, TX 77379-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
W1507TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 22, 2024 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Sep 20, 2024 Accepting new patients
Obstetrics and Gynecology Associates of Laredo, P.a. CurrentSince Nov 1, 2025 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Sep 20, 2024 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896

3800 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-8817

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

7109 N Bartlett Ave
Ste 101
Laredo, TX 78041
Phone (956) 717-5775

Organizations & group practices 8

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1891376604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 N BARTLETT AVE STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416473",
            "telephone_number": "956-717-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 N BARTLETT AVE STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416473",
            "telephone_number": "956-717-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATELYN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.