Individual provider Active NPI

Christen Samira Smith, PA-C

  • Physician Assistant
  • Live Oak, TX
National Provider Identifier
1952029217
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18527 Issued in TX
Practice address
12881 N Interstate 35
Live Oak, TX 78233-2966
Phone
(210) 742-6555
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA18527 TX Primary

Addresses

Primary practice location

12881 N Interstate 35
Live Oak, TX 78233-2966

Mailing address

13029 Savory PL
Saint Hedwig, TX 78152-0524
Phone (254) 285-9018

Other names 1

  • Christen Samira Richardson Former name

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
I20250826004934 TX Practitioner - Physician Assistant 5597265157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

12410 Toepperwein Rd
Live Oak, TX 78233-3230

4926 Golden Quail
Suite 104
San Antonio, TX 78240-1767
Phone (210) 742-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18527TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Partners LLC PastSince Jun 15, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christen.smith@478600780382212.direct.elationemr.com

Organizations & group practices 2

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1952029217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13029 SAVORY PL",
            "city": "SAINT HEDWIG",
            "state": "TX",
            "postal_code": "781520524",
            "telephone_number": "254-285-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 N INTERSTATE 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTEN",
        "middle_name": "SAMIRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTEN",
            "last_name": "RICHARDSON",
            "middle_name": "SAMIRA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.