Sandra Lynn Smith, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24852 Issued in AZ

Practice address

824 S San Francisco St
BLDG. #25 Nau
Flagstaff, AZ 86001

Phone

(928) 523-2131

Fax

(928) 523-1102

NPI assigned

Mar 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Az BD of Regents for on Behalf of Northern Az University

  • Primary Care Clinic/Center
  • Flagstaff, AZ
  • NPI 1891727863
  NPD (past)
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Show Low, AZ
  • NPI 1073740098
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1265409643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6033",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860110181",
            "telephone_number": "928-523-2131",
            "fax_number": "928-523-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S SAN FRANCISCO ST",
            "address_2": "BLDG. #25 NAU",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-523-2131",
            "fax_number": "928-523-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "24852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Ann Smith, PTA
• Libby Smith, ED.D. PH.D.
• Madeline Kidd Smith, CRNA
• Mary Sylvia Smith, FNP-C
• Meredith Marie Smith, NP
• Tempest Smith, LCSW
• Terry Smith, MS,APRN, FNP-C
• Victoria N Smith
• Smiths Food & Drug Centers Inc
• Brianne N Snider, OTR/L

• Family Medicine Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.