DR. SOMER CHANEL SMITH-NUTALL MD
NPI 1104678168
Student in an Organized Health Care Education/Training Program in Houston, TX

Q: What is Somer Smith-nutall's NPI number?

The NPI number for Somer Smith-nutall is 1104678168. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Q: What is Somer Smith-nutall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 03, 2024PECOS Enrolled

1 BAYLOR PLZ, HOUSTON, TX 77030(713) 798-6078 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 30, 2026, Apr 3, 2024 (2 updates tracked since 2024).

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About Dr. Somer Chanel Smith-nutall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOMER CHANEL SMITH-NUTALL MD (NPI 1104678168) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1104678168

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SOMER CHANEL SMITH-NUTALLCredential: MD

Location Address1 BAYLOR PLZHouston, TX 77030-3411

Mailing Address1752 Heath DrCollege Station, TX 77845-8639

Phone(713) 798-6078

Sole ProprietorNo

Enumeration DateApril 3, 2024

Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1104678168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 BAYLOR PLZ, Houston, TX 77030

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Secondary Practice Location 1

Location 13401 N Broad StPhiladelphia, PA 19140-5103 · Phone (215) 707-7020

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Somer Chanel Smith-nutall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAYLOR COLLEGE OF MEDICINE

General Acute Care Hospital

1 BAYLOR PLZ, SUITE 022D
HOUSTON, TX 77030

Harris County (713) 798-4620

MATTHEW CARROLL

Obstetrics & Gynecology

1 BAYLOR PLZ, BCM610
HOUSTON, TX 77030

Harris County (832) 826-7372

DR. HOLLAND MANON KAPLAN MD

Hospitalist