Active NPI
Kristi Lynn Smith, F.N.P.
- Family Nurse Practitioner
- Chandler, AZ
National Provider Identifier
1013254127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4748
- Practice address
- 1875 W Frye Rd Ste 300
Chandler, AZ 85224-6184 - Phone
- (480) 917-5600
- Fax
- (602) 294-4494
- NPI assigned
- Jan 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN092132 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP4748 | AZ | Primary |
Addresses
Primary practice location
1875 W Frye Rd Ste 300
Chandler, AZ 85224-6184
Mailing address
2910 N 3Rd Ave
Phoenix, AZ 85013-4434
Phone (480) 917-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP4748 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toca at Banner Health LLC | Current | Accepting new patients | |
| Toca at Banner Health LLC | Current | Accepting new patients |
Locations
18700 N 64th Dr
Ste 220
Glendale, AZ 85308
2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165
9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549
5002 S Mill Ave
Ste 101
Tempe, AZ 85282
Interoperability endpoints
- kristi.smith@764.direct.myezyaccess.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Glendale, AZ
- NPI 1386270932
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1922622513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1013254127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "480-917-5600",
"fax_number": "602-294-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 W FRYE RD STE 300",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246184",
"telephone_number": "480-917-5600",
"fax_number": "602-294-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KRISTI",
"middle_name": "LYNN",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN092132",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.