Individual provider Active NPI

Jillian Ashley Smithers, N.M.D.

  • Naturopath
  • Phoenix, AZ
National Provider Identifier
1114478906
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
16-1569 Issued in AZ
Practice address
2929 E Camelback Rd
Suite 126
Phoenix, AZ 85016-4424
Phone
(480) 747-5559
Fax
(480) 483-6604
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 16-1569 AZ Primary

Addresses

Primary practice location

2929 E Camelback Rd
Suite 126
Phoenix, AZ 85016-4424

Mailing address

2929 E Camelback Rd
Suite 126
Phoenix, AZ 85016-4424
Phone (480) 747-5559

Other identifiers 1

IdentifierTypeStateIssuer
175F00000XOtherAZNATUROPATH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16-1569AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1114478906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E CAMELBACK RD",
            "address_2": "SUITE 126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164424",
            "telephone_number": "480-747-5559",
            "fax_number": "480-483-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E CAMELBACK RD",
            "address_2": "SUITE 126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164424",
            "telephone_number": "480-747-5559",
            "fax_number": "480-483-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHERS",
        "first_name": "JILLIAN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "16-1569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATH",
            "identifier": "175F00000X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.