MARK CHRISTOPHER SMITH MSN RN AGACNP-BC NPI 1912309238

NPI Information

NPI: 1912309238
Provider Name: MARK CHRISTOPHER SMITH, MSN, RN, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: COVENANT MEDICAL GROUP

PECOS Registration: Yes

Address:
3621 22ND ST STE 400
LUBBOCK, TX
ZIP 79410
Phone: (809) 794-8484
Get Directions

Mark Christopher Smith, MSN, RN, AGACNP-BC is an acute care nurse practitioner in Lubbock, TX with 10 years of experience. Mark Christopher Smith, MSN, RN, AGACNP-BC NPI is 1912309238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3621 22ND ST STE 400
LUBBOCK, TX
ZIP 79410-302
Phone: (809) 794-8484
Fax: (806) 794-8498

The NPI 1912309238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 12/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	AP126468	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38225069	MEDICAID	NEW MEXICO
2	8383NS	OTHER	TEXAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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