KRISTIN N SMITH PLLC (NPI# 1467605691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467605691 |
| Entity Type | Organization |
| Organization Name | KRISTIN N SMITH PLLC |
| Practice Address |
5303 W Hackamore Dr Phoenix AZ 85083-4418 |
| Practice Telephone | 6232662690 |
| Practice Fax Number | 6233374224 |
| Mailing Telephone | 6232662690 |
| Mailing Fax Number | 6233374224 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |
| Authorized Official Name | KRISTIN NICOLE SMITH (INDEPENDENT NURSE PRACTITIONER) |
| Authorized Official Telephone | 6025241927 |
| Authorized Official Credential | ANP-C, RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN104595 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 949894 | 05 | |
| CURRENT INDIVIDUAL NPI NUMBER | 1174598775 | 01 |
| Street Address |
5303 W HACKAMORE DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85083-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042657 | Prestige Group Homes | Assisted Living Facility | 28001 N 31st Ave, Phoenix, AZ 85083 | 2017-09-28 |
| 1467702068 | Chirag Javia | Pharmacist | 5029 W. Buckskin Trail, Phoenix, AZ 85083 | 2012-09-12 |
| 1568944049 | Nicholas Ryan Wieferich | Pharmacist | 5450 W Happy Valley Rd, Phoenix, AZ 85083 | 2018-08-31 |
| 1992258743 | Andrew Jon Cefalo | Dentist | 25155 N 67th Ave Ste 142, Phoenix, AZ 85083 | 2016-07-28 |
| 1538643242 | Nel's Nest Assisted Living, LLC | Assisted Living Facility | 3655 W Dynamite Blvd, Phoenix, AZ 85083-0860 | 2018-09-18 |
| 1508211673 | Mansi Dave | Internal Medicine | 5164 W Quail Track Dr, Phoenix, AZ 85083-0863 | 2016-04-26 |
| 1043797905 | Kara A Fishgold | Nurse Practitioner | 6325 W Briles Rd, Phoenix, AZ 85083-1003 | 2018-07-24 |
| 1053455634 | Melanie O'rourke Speech Services, LLC | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2007-02-16 |
| 1538437538 | Melanie O'rourke | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2011-12-05 |
| 1508280496 | Stephen Wayne Champion | Registered Nurse | 25830 N 64th Ave, Phoenix, AZ 85083-1014 | 2014-02-12 |
| Find all providers in zip 85083 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
| 1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
| 1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1598135741 | Sandra Shearer | Nurse Practitioner | 513 W Lavitt Ln, Phoenix, AZ 85086-6346 | 2015-09-30 |
| 1023499860 | Kelly Lynn Schultz | Nurse Practitioner | 3944 E Hillery Dr, Phoenix, AZ 85032-5245 | 2015-06-17 |
| 1609298900 | Lorna Ann Hill | Nurse Practitioner | 13224 N 31st Pl, Phoenix, AZ 85032-6041 | 2014-01-06 |
| 1801217765 | Trifit Pain Management LLC | Nurse Practitioner | 505 E Camelback Rd, Phoenix, AZ 85012-1615 | 2013-12-19 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on KRISTIN N SMITH PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.