KRISTIN N SMITH PLLC NPI 1467605691

NPI Information

NPI: 1467605691
Provider Name: KRISTIN N SMITH PLLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
5303 W HACKAMORE DR
PHOENIX, AZ
ZIP 85083
Phone: (623) 266-2690
Get Directions

KRISTIN N SMITH PLLC is an adult health nurse practitioner in Phoenix, AZ. KRISTIN N SMITH PLLC NPI is 1467605691. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5303 W HACKAMORE DR
PHOENIX, AZ
ZIP 85083-418
Phone: (623) 266-2690
Fax: (623) 337-4224

The provider's authorized official is Kristin Nicole Smith .
The authorized official title is Independent Nurse Practitioner and has the following contact phone number (602) 524-1927.

The enumeration date for this NPI number is 10/31/2008 and was last updated on 10/31/2008.

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	363LA2200X	Nurse Practitioner	Adult Health	RN104595	ARIZONA	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	104721	MEDICARE PIN	ARIZONA
2	1174598775	OTHER		CURRENT INDIVIDUAL NPI NUMBER
3	949894	MEDICAID	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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