Active NPI
Gregg T Smith, FNP-C
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1487816658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 227287
- Practice address
- 3601 S 6TH Ave
Tucson, AZ 85723-2704 - Phone
- (520) 792-1450
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0005718-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 1123553 | TX | |
| Family Nurse Practitioner | 363LF0000X | 13271347-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 227287 | AZ | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
Tucson, AZ 85723-2704
Mailing address
3601 S 6TH Ave
Tucson, AZ 85723-0001
Phone (520) 792-1450
Other practice location 1
501 S Cherry St Ste 700
Denver, CO 80246-1328
Phone (303) 321-2828
Other practice location 2
2175 S Newton St
Denver, CO 80219-5215
Phone (303) 829-4290
Other practice location 3
4881 E Grant Rd # 101
Tucson, AZ 85712-2704
Phone (520) 318-6035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227287 | AZ | MD | Family Nurse Practitioner |
| APN.0005718-NP | CO | MD | Family Nurse Practitioner |
| 1123553 | TX | MD | Family Nurse Practitioner |
| 13271347-4405 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1487816658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-792-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857232704",
"telephone_number": "520-792-1450"
}
],
"practiceLocations": [
{
"address_1": "501 S Cherry St Ste 700",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802461328",
"country_code": "US",
"telephone_number": "303-321-2828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2175 S Newton St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802195215",
"country_code": "US",
"telephone_number": "303-829-4290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4881 E Grant Rd # 101",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122704",
"country_code": "US",
"telephone_number": "520-318-6035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "GREGG",
"middle_name": "T",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0005718-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1123553",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "13271347-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "227287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.