Stephanie Smith, A-GNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

359858-4405 Issued in UT

Practice address

13957 S Bangerter Pkwy Ste 102
Draper, UT 84020-5429

Phone

(801) 866-8619

NPI assigned

Feb 24, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1558060954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13614 S VESTRY RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207521",
            "telephone_number": "801-580-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13957 S BANGERTER PKWY STE 102",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205429",
            "telephone_number": "801-866-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "359858-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Edwin Smith, DPT
• McKenzie Smith, PA-C
• Michael Smith
• Natalie Smith
• Rachel Smith
• Smiths Food & Drug Centers Inc
• Christina Snyder, C.P.N.P.
• Jessica Snyder
• Meagan Softley, BCBA
• Adan Solano

• Adult Health Nurse Practitioner in Draper, UT
• Providers in Draper, UT by specialty
• Adult Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.