Individual provider Active NPI

Kristi Lynn Smith, F.N.P.

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1013254127
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4748 Issued in AZ
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

Updated by the provider on Dec 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP4748AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toca at Banner Health LLC CurrentSince Jan 1, 2026 Accepting new patients
Toca at Banner Health LLC CurrentSince Jan 1, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.