Individual provider Active NPI

Alyssa Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1447775986
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10336 Issued in AZ
Practice address
765 S Lindsay Rd
Gilbert, AZ 85296-3063
Phone
(806) 350-1134
NPI assigned
Aug 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 AP10336 AZ Primary

Addresses

Primary practice location

765 S Lindsay Rd
Gilbert, AZ 85296-3063

Mailing address

765 S Lindsay Rd
Gilbert, AZ 85296-3063
Phone (806) 350-1134

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
I20200702001577 AZ Practitioner - Nurse Practitioner 5193148567 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
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

765 S Lindsay Rd
Gilbert, AZ 85296-3063
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC CurrentSince Jun 29, 2020 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Aug 15, 2023 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Jun 29, 2020 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

2010 S Dobson Rd
Chandler, AZ 85286
Phone (480) 899-2183

3170 S Higley Rd
Gilbert, AZ 85295
Phone (480) 279-5517

765 S Lindsay Rd
Gilbert, AZ 85296
Phone (480) 635-0113

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1447775986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S LINDSAY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963063",
            "telephone_number": "806-350-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S LINDSAY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963063",
            "telephone_number": "806-350-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSSA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-06",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.