| NPI | 1083616080 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-10 |
| Last Updated | 2007-07-08 |
| Mailing Address | 5002 Cowhorn Creek Rd Texarkana, TX 75503-9766 United States Phone: (903) 614-3000 | Fax: (903) 614-3525 📍 View Map |
| Primary Practice Address | 128 N Ellis St New Boston, TX 75570-2904 United States Phone: (903) 628-1104 | Fax: (903) 628-0104 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 112262402 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | TX | 506033 |
| No | 363LF0000X – Nurse Practitioner, Family | AR | A01143 |
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About NPI 1083616080
Paul A Smith ANP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083616080. The primary specialty listed is Nurse Practitioner, Family. The provider is located in New Boston, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083616080?
NPI 1083616080 belongs to Paul A Smith ANP, a Nurse Practitioner, Family in New Boston, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083616080 active?
The current status of NPI 1083616080 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1083616080?
NPI 1083616080 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083616080?
You can verify NPI 1083616080 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083616080?
The primary practice address on file for NPI 1083616080 is 128 N Ellis St, New Boston, TX 75570-2904. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083616080 issued?
NPI 1083616080 was first issued (enumerated) on 2005-08-10. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Paul A Smith is located at 128 N Ellis St, New Boston, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Paul A Smith. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083616080. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | 506033 | TX |
| Nurse Practitioner, Family | A01143 | AR |