Individual provider Active NPI

Tanya Lynn Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1184116824
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11233 Issued in AZ
Practice address
500 W Thomas Rd Ste 230
Phoenix, AZ 85013
Phone
(602) 406-9999
NPI assigned
May 30, 2018
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180719001363 AZ Practitioner - Nurse Practitioner 3779830906 Reassigns benefits to 3 organizations

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
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

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

LicenseStateTypeSpecialty
AP11233AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewell Behavioral Wellness CurrentSince Jul 23, 2018 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince May 12, 2024 Accepting new patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. CurrentSince May 12, 2024 Accepting new patients
Mind 247 Practice LLC CurrentSince Apr 25, 2022 Accepting new patients
Strategies for Success Consulting, PC PastSince Aug 30, 2020 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

  • Direct secure messaging: tanya.smith.p1@direct.lafrontera-empact.nextgenshare.com
  • Direct secure messaging: tanya.smithnp.p1@direct.cbridges.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.