Jennifer Lynn Smith, NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

13-1375 Issued in AZ

Practice address

16421 N Tatum Blvd Ste 210
Phoenix, AZ 85032-3454

Phone

(602) 675-0170

Fax

(602) 675-1735

NPI assigned

Oct 30, 2013

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1407284441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 E MONTE CRISTO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324034",
            "telephone_number": "480-529-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16421 N TATUM BLVD STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323454",
            "telephone_number": "602-675-0170",
            "fax_number": "602-675-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 E Bell Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852546002",
            "country_code": "US",
            "telephone_number": "602-441-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "13-1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javon Smith
• Jayla Smith
• Jeanette M Smith, PHD
• Jeffrey Alan Smith, OD
• Jennifer Smith, RBT
• Jessica Anne Smith
• Jessica Walker Smith, MS, CPNP
• Josh J Smith, PSYD
• Julie Elizabeth Smith
• Juliette Smith, MSN, CPNP-PC

• Naturopath in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.