Connie Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

213687 Issued in AR

Practice address

1010 E Hollywood Ave
Blytheville, AR 72315-2552

Phone

(870) 409-7119

NPI assigned

Jul 16, 2026

Last updated

Jul 16, 2026By the provider in NPPES

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

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fast Pace Mississippi, PLLC

  dba Fast Pace Health

  • Urgent Care Clinic/Center
  • Greenbriar, AR
  • NPI 1982361259
  NPD (past)
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD (past)

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1912827460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E HOLLYWOOD AVE",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152552",
            "telephone_number": "870-409-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E HOLLYWOOD AVE",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152552",
            "telephone_number": "870-409-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "213687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shemekia Sherelle Sims
• Derrick Singleton, LPC
• Margaret R. Singleton, M.D.
• Amber Sade Slater
• SMC Regional Medical Center LLC
• Constance H Smith, M.D.
• Hilary Smith, MHPP
• Janice Smith
• Ronald D Smith, MD
• Brieanna Smithey, MHPP

• Family Nurse Practitioner in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.