Elizabeth Denise Smith, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN156404 Issued in AZ

Practice address

751 N 215TH Ave
Buckeye, AZ 85326-6525

Phone

(623) 238-3514

NPI assigned

Nov 21, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1477199792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16450 W VAN BUREN ST APT 1066",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381604",
            "telephone_number": "317-260-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N 215TH AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266525",
            "telephone_number": "623-238-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN156404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN156404",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "denise.smith@buhsd.org",
            "affiliation": "N",
            "address_1": "751 N 215th Ave",
            "city": "Buckeye",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853266525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolyn Skwier, LPN
• Tatiana Sluus
• Smi Imaging LLC
• Austin L Smith, MD
• David Alan Smith, RN
• Kristina Smith
• Robert Smith
• Terry Neil Smith
• Smith'S Food & Drug Centers Inc
• Smiths Food & Drug Centers Inc

• School Registered Nurse in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.