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

Q: What is the provider's specialty?

The provider's specialty 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: July 19, 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.