Individual provider Active NPI

Christine L Smith, MSN, FNP-PP, CRNFA

  • Family Nurse Practitioner
  • Oregon City, OR
National Provider Identifier
1457395154
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200950122NP FNP-PP Issued in OR
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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 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

IdentifierTypeStateIssuer
093000434RNOtherOROREGON BOARD OF NURSIN
200950122NP FNP-PPOtherORNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190918000510 OR Practitioner - Nurse Practitioner 3577893502 Reassigns benefits to 1 organization
I20230824003776 AZ Practitioner - Nurse Practitioner 3577893502 Reassigns benefits to 2 organizations

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
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
Uptown Providers PCGroup PAC ID 4284891243, 43 clinicians

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

LicenseStateTypeSpecialty
200950122NP FNP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Aug 1, 2023 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 CurrentSince Aug 17, 2019 Accepting new patients
Uptown Providers PC CurrentSince Aug 17, 2019 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Aug 1, 2023 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.

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

Verify at the official NPI Registry.