Active NPI
Christine L Smith, MSN, FNP-PP, CRNFA
- Family Nurse Practitioner
- Oregon City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200950122NP FNP-PP
- Practice address
- 1713 Penn Lane
Oregon City, OR 97045 - Phone
- (503) 655-7725
- Fax
- (503) 655-7720
- NPI assigned
- Jun 15, 2006
- Last updated
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200950122NP FNP-PP | OR | Primary |
Addresses
Primary practice location
1713 Penn Lane
Oregon City, OR 97045
Mailing address
1713 Penn LN
Oregon City, OR 97045-1528
Phone (503) 655-7725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093000434RN | Other | OR | OREGON BOARD OF NURSIN |
| 200950122NP FNP-PP | Other | OR | NP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625
11685 W Van Buren St
Avondale, AZ 85323-6904
Phone (623) 465-6420
13901 W Meeker Blvd
Sun City West, AZ 85375-4475
Phone (623) 465-6435
14278 SW Allen Blvd
Beaverton, OR 97005-4405
Phone (503) 305-6262
15521 W Bell Rd
Surprise, AZ 85374-3437
Phone (623) 465-6390
21980 N 83Rd Ave
Peoria, AZ 85383-1850
Phone (623) 465-6375
4206 E Chandler Blvd
Suite 100
Phoenix, AZ 85048-8873
Phone (480) 827-5590
4232 W Bell Rd
Glendale, AZ 85308-4027
Phone (623) 465-6360
7611 W Cactus Rd
Peoria, AZ 85381-5203
Phone (623) 465-6315
7952 N 43Rd Ave
Glendale, AZ 85301-1662
Phone (623) 465-6330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200950122NP FNP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Urgent Care Arizona LLC | Current | Accepting new patients | |
| Banner Urgent Care Arizona LLC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients | |
| Banner Urgent Care Services, LLC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients | |
| Banner Urgent Care Services, LLC | Current | Accepting new patients | |
| Banner Urgent Care Services, LLC | Current | Accepting new patients | |
| Uptown Providers PC | Past | Accepting new patients | |
| Uptown Providers PC | Past | Accepting new patients | |
| Children's Center | Past | Accepting new patients |
Locations
1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688
1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355
4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590
35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750
10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625
15521 W Bell Rd
Surprise, AZ 85374
Phone (623) 223-1820
7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344
14278 SW Allen Blvd
Beaverton, OR 97005
1071 SE Tualatin Valley Hwy
Hillsboro, OR 97123
17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 387-3796
397 Warner Milne Rd
Oregon City, OR 97045
25 NW 23rd Pl
Ste 11
Portland, OR 97210
Phone (503) 766-2215
6633 NE Sandy Blvd
Portland, OR 97213
11675 SW Pacific Hwy
Tigard, OR 97223
8060 SW Pfaffle St
Ste 106
Tigard, OR 97223
180 NE 192nd Ave
Ste 505
Vancouver, WA 98684
7500 NE 117th Ave
Vancouver, WA 98662
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1609229764
-
- Urgent Care Clinic/Center
- Casa Grande, AZ
- NPI 1316349855
-
- General Practice Physician
- Beaverton, OR
- NPI 1710349477
-
- Urgent Care Clinic/Center
- Payson, AZ
- NPI 1194369074
-
- Urgent Care Clinic/Center
- San Tan Valley, AZ
- NPI 1942653019
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1962855031
-
- Child Abuse Pediatrics Physician
- Oregon City, OR
- NPI 1639349533
-
- General Practice Physician
- Portland, OR
- NPI 1144598293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1457395154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 PENN LN",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451528",
"telephone_number": "503-655-7725",
"fax_number": "503-655-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 PENN LANE",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-655-7725",
"fax_number": "503-655-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTINE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSN, FNP-PP, CRNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200950122NP FNP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF NURSIN",
"identifier": "093000434RN",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "200950122NP FNP-PP",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.