Kaitlin S Smith, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

276788 Issued in AZ

Practice address

7333 E Thomas Rd
Scottsdale, AZ 85251-7215

Phone

(480) 585-5200

Fax

(480) 585-5233

NPI assigned

Oct 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlin S Allen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlin.allen@agave.eclinicaldirectplus.com

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.

• Scottsdale Pediatrics and Pediatric Nephrology, PLLC

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1629076518
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1053083600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117",
            "telephone_number": "480-585-5200",
            "fax_number": "480-585-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 E THOMAS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517215",
            "telephone_number": "480-585-5200",
            "fax_number": "480-585-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLIN",
        "middle_name": "S",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "276788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "ALLEN",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James E Smith Jr., FNP
• Jennifer Reed Smith, D.O.
• John Clark Smith, MD
• Jonathan H Smith, M.D.
• Julianna Marie Smith, MD, MS
• Karen Louise Smith, DPM
• Kathleen Grady Smith, P.T, NCS
• Kelly Smith, M.D.
• Kimberly Kay Smith, RN
• Kody Je Smith, M.D.

• Pediatric Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.