Individual provider Active NPI

Kurt Angus Smalls-Walker, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1225556293
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP10492 Issued in AZ
Practice address
7629 E Pinnacle Peak Rd Ste 118
Scottsdale, AZ 85255-6292
Phone
(972) 207-5136
Fax
(480) 530-3482
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP10492 AZ Primary

Addresses

Primary practice location

7629 E Pinnacle Peak Rd Ste 118
Scottsdale, AZ 85255-6292

Mailing address

7629 E Pinnacle Peak Rd Ste 118
Scottsdale, AZ 85255-6292
Phone (972) 207-5136

Other practice location 1

2045 S Vineyard Ste 131
Mesa, AZ 85210-6893
Phone (480) 525-6590

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
I20181023000897 AZ Practitioner - Nurse Practitioner 0143573030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10230 W Happy Valley Pkwy
Suite 300
Peoria, AZ 85383-4392
Phone (480) 962-0071

10510 N 92ND St
Scottsdale, AZ 85258-4566

1255 W Rio Salado Pkwy
Suite 107
Tempe, AZ 85281-2892
Phone (480) 962-0071

20745 N Scottsdale Rd
Scottsdale, AZ 85255-6595

3717 S Rome St
Suite 107
Gilbert, AZ 85297-7367
Phone (480) 962-0071

8405 N Pima Ctr Pkwy
Suite 201
Scottsdale, AZ 85258-4638
Phone (480) 882-7470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TAP10492AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince May 21, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 7, 2022 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 7, 2022 Accepting new patients
Premier Physicians Group, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Next Level Facility LLC PastSince Nov 12, 2023 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

3717 S Rome St
Ste 106
Gilbert, AZ 85297
Phone (623) 683-8184

6206 W Bell Rd
Ste 4
Glendale, AZ 85308
Phone (602) 547-7300

5681 W Beverly Ln
Ste 101
Glendale, AZ 85306

1955 S Val Vista Dr
Ste 126
Mesa, AZ 85204
Phone (480) 272-8944

4540 E Baseline Rd
Ste 105
Mesa, AZ 85206
Phone (480) 272-8944

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

7600 N 15th St
Ste 165B
Phoenix, AZ 85020
Phone (480) 977-6000

7141 W Thomas Rd
Ste 300
Phoenix, AZ 85033

7141 W Thomas Rd
Phoenix, AZ 85033
Phone (480) 272-8944

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1255 W Rio Salado Pkwy
Ste 107
Tempe, AZ 85281
Phone (602) 443-4170

Interoperability endpoints

  • Direct secure messaging: ksmallswalker470737@direct.honorhealth.com
  • FHIR API: https://api.platform.athenahealth.com/3522/brand/1/csg/21/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1225556293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 E PINNACLE PEAK RD STE 118",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556292",
            "telephone_number": "972-207-5136",
            "fax_number": "480-530-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 E PINNACLE PEAK RD STE 118",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556292",
            "telephone_number": "972-207-5136",
            "fax_number": "480-530-3482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 S Vineyard Ste 131",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106893",
            "country_code": "US",
            "telephone_number": "480-525-6590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLS-WALKER",
        "first_name": "KURT",
        "middle_name": "ANGUS",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP10492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.