Individual provider Active NPI

Garrick M Smitherman

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1952274011
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1215999 Issued in TX
Practice address
1757 Broad Park Cir N Ste 201
Mansfield, TX 76063-7840
Phone
(817) 806-1130
Fax
(817) 806-1133
NPI assigned
Sep 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 935240 TX
Family Nurse Practitioner 363LF0000X 1215999 TX Primary

Addresses

Primary practice location

1757 Broad Park Cir N Ste 201
Mansfield, TX 76063-7840

Mailing address

500 Oak St
Venus, TX 76084-3130
Phone (469) 879-0944

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
I20251126001533 TX Practitioner - Nurse Practitioner 3971095977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 6278
Fort Worth, TX 76115

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
935240TXMDRegistered Nurse
1215999TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huguley Medical Associates CurrentSince Jan 12, 2026 Accepting new patients

Locations

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

1757 Broad Park Cir N
Ste 201
Mansfield, TX 76063
Phone (817) 806-1130

550 Hawkins Run Rd
Ste 100
Midlothian, TX 76065

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1952274011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OAK ST",
            "city": "VENUS",
            "state": "TX",
            "postal_code": "760843130",
            "telephone_number": "469-879-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 BROAD PARK CIR N STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637840",
            "telephone_number": "817-806-1130",
            "fax_number": "817-806-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHERMAN",
        "first_name": "GARRICK",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "935240",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1215999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.