MR. CHRISTOPHER LEE SMITH APRN PMHNP-BC NPI 1225496391

NPI Information

  • NPI: 1225496391
  • Provider Name: MR. CHRISTOPHER LEE SMITH, APRN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 409 W 400 S
    THE FOURTH STREET CLINIC
    SALT LAKE CITY, UT
    ZIP 84101
  • Phone: (385) 234-5705

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NPI Details

MR. Christopher Lee Smith, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Salt Lake City, UT with 10 years of experience. MR. Christopher Lee Smith, APRN, PMHNP-BC NPI is 1225496391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

409 W 400 S
THE FOURTH STREET CLINIC
SALT LAKE CITY, UT
ZIP 84101
Phone: (385) 234-5705
Fax: (801) 364-0161

The NPI 1225496391 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 2/4/2016 and was last updated on 11/4/2022.

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
1363L00000XNurse Practitioner65978714405UTAHNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health6597871-4405UTAHYes

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: 11/21/2025

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