Individual provider Active NPI

Tawnya Renae Smith, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1477836971
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4191 Issued in AZ
Practice address
7091 E Speedway
Tucson, AZ 85710
Phone
(520) 721-5777
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 AP4191 AZ Primary

Addresses

Primary practice location

7091 E Speedway
Tucson, AZ 85710

Mailing address

P.O. Box 203
Benson, AZ 85602
Phone (520) 400-3085

Other names 1

  • Tawnya Renae Meeks Former name

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
I20210326001986 AZ Practitioner - Nurse Practitioner 4486933199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Vascular Specialists LLCGroup PAC ID 7113321878, 5 clinicians

Practice addresses (Care Compare)

6442 E Speedway Blvd
Suite 102
Tucson, AZ 85710-1134
Phone (520) 777-4090

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chiricahua Community Health Centers, Inc Current Accepting new patients
Chiricahua Community Health Centers, Inc. CurrentSince Feb 13, 2023 Accepting new patients
Chiricahua Community Health Centers, Inc CurrentSince Feb 13, 2023 Accepting new patients
Arizona Vascular Specialists, LLC CurrentSince Dec 23, 2024 Accepting new patients

Locations

335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811

10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222

6442 E Speedway Blvd
Ste 102
Tucson, AZ 85710
Phone (520) 777-4090

Organizations & group practices 4

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1477836971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 203",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "85602",
            "telephone_number": "520-400-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7091 E SPEEDWAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85710",
            "telephone_number": "520-721-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAWNYA",
        "middle_name": "RENAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWNYA",
            "last_name": "MEEKS",
            "middle_name": "RENAE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.