KIMBERLY ANNE SMITH NP NPI 1689143778

NPI Information

  • NPI: 1689143778
  • Provider Name: KIMBERLY ANNE SMITH, NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 11209 N TATUM BLVD STE 255
    PHOENIX, AZ
    ZIP 85028
  • Phone: (602) 494-5050

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NPI Details

Kimberly Anne Smith, NP is a women's health nurse practitioner in Phoenix, AZ. Kimberly Anne Smith, NP NPI is 1689143778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11209 N TATUM BLVD STE 255
PHOENIX, AZ
ZIP 85028-061
Phone: (602) 494-5050

The enumeration date for this NPI number is 11/19/2018 and was last updated on 2/9/2024.

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
1363LW0102XNurse PractitionerWomen's Health299520ARIZONAYes

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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