Individual provider Active NPI

Kimberly Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1144195868
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
328955 Issued in AZ
Practice address
10000 N 31St Ave Ste C218
Phoenix, AZ 85051-9620
Phone
(602) 314-6312
NPI assigned
Oct 10, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 328955 AZ Primary

Addresses

Primary practice location

10000 N 31St Ave Ste C218
Phoenix, AZ 85051-9620

Mailing address

PO Box 10485
Glendale, AZ 85318-0485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20251216004950 AZ Practitioner - Nurse Practitioner 6800381948 Reassigns benefits to 2 organizations
I20251217003589 NV Practitioner - Nurse Practitioner 6800381948 Reassigns benefits to 2 organizations
I20260107000833 VA Practitioner - Nurse Practitioner 6800381948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

2220 Edward Holland Dr
Richmond, VA 23230-2519
Phone 8328694818235

639 Isbell Rd
Suite 380
Reno, NV 89509-4982
Phone (832) 869-4818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
328955AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

2870 S Maryland Pkwy
Ste 230
Las Vegas, NV 89109
Phone (702) 330-0530

639 Isbell Rd
Ste 380
Reno, NV 89509
Phone (775) 348-5800

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1144195868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10485",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE C218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519620",
            "telephone_number": "602-314-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "328955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.