Active NPI
Tanya Lynn Smith
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP11233
- Practice address
- 500 W Thomas Rd Ste 230
Phoenix, AZ 85013 - Phone
- (602) 406-9999
- NPI assigned
- May 30, 2018
- Last updated
- Aug 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP11233 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd Ste 230
Phoenix, AZ 85013
Mailing address
3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786
Other practice location 1
4451 E Oak St
Phoenix, AZ 85008
Phone (516) 642-2765
Other practice location 2
3377 S Price Rd Ste 103
Chandler, AZ 85248-3573
Phone (602) 412-8335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
358 E Javelina Ave
Suite 101
Mesa, AZ 85210-6205
Phone (480) 507-3180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11233 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifewell Behavioral Wellness | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Mind 247 Practice LLC | Current | Accepting new patients | |
| Strategies for Success Consulting, PC | Past | Accepting new patients | |
| Community Bridges, Inc. | Past | Accepting new patients | |
| Empact Suicide Prevention Center Inc | Past | Accepting new patients |
Locations
1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876
1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125
1855 W Baseline Rd
Ste 101
Mesa, AZ 85202
358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180
6915 E Main St
Ste 200
Mesa, AZ 85207
10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 674-5515
202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404
2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331
2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020
2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999
4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220
1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257
250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312
3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335
Interoperability endpoints
- tanya.smith.p1@direct.lafrontera-empact.nextgenshare.com
- tanya.smithnp.p1@direct.cbridges.nextgenshare.com
- tanya.smithnp.p1@direct.lifewell.nextgenshare.com
Organizations & group practices 10
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.
-
dba CBI - Encompass Page Integrated Health Home
- Adult Mental Health Clinic/Center
- Page, AZ
- NPI 1558095315
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1417050337
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1902472467
-
dba Lighthouse
- Mental Illness Community Based Residential Treatment Facility
- Yuma, AZ
- NPI 1861722175
-
dba Toole Outpatient Service Center
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1427596196
-
dba Community Psychiatric Emergency Center - Outpatient
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1588348775
-
dba Community Psychiatric Emergency Center (CPEC)
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1891068813
-
dba Arizona Bridge to Recovery
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
- NPI 1356461727
-
- Community/Behavioral Health Agency
- Glendale, AZ
- NPI 1659414969
-
dba Strategies for Success
- Multi-Specialty Clinic/Center
- Chandler, AZ
- NPI 1144833369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1184116824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N CENTRAL AVE STE 1001",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122716",
"telephone_number": "602-406-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85013",
"telephone_number": "602-406-9999"
}
],
"practiceLocations": [
{
"address_1": "4451 E Oak St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85008",
"country_code": "US",
"telephone_number": "516-642-2765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3377 S Price Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852483573",
"country_code": "US",
"telephone_number": "602-412-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TANYA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP11233",
"primary": true
}
],
"identifiers": [],
"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 Aug 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.