Individual provider Active NPI

Kimberly A Owens-Smith, FNP-C, PMHNP-BC,

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1568795482
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
292149 Issued in AZ
Practice address
2445 E Baseline Rd Ste 133
Phoenix, AZ 85042-7090
Phone
(480) 677-8282
Fax
(844) 470-2777
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 292149 AZ
Family Nurse Practitioner 363LF0000X 292149 AZ Primary

Addresses

Primary practice location

2445 E Baseline Rd Ste 133
Phoenix, AZ 85042-7090

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
204723MedicaidAZ

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
I20240131002935 AZ Practitioner - Nurse Practitioner 7315390861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

401 E Bell Rd
Suite 18
Phoenix, AZ 85022-2395
Phone (480) 677-8282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292149AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Dec 1, 2023 Accepting new patients
Compassus Op of Arizona LLC CurrentSince Sep 30, 2024 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 3, 2024 Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Good Health Medical, PLLC Past Accepting new patients
Livn, P.C. Past Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282

44360 W Edison Rd
Ste 135
Maricopa, AZ 85138

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220

5333 N 7th St
Ste C123
Phoenix, AZ 85014
Phone (623) 900-2645

401 E Bell Rd
Ste 18
Phoenix, AZ 85022
Phone (602) 368-1403

120 N 44th St
Ste 150
Phoenix, AZ 85034
Phone (623) 900-2645

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

2445 E Baseline Rd
Ste 133
Phoenix, AZ 85042

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kimberly.owensnp.p1@direct.cbridges.nextgenshare.com
  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 9

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1568795482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 E BASELINE RD STE 133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427090",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS-SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "FNP-C, PMHNP-BC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "292149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "292149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204723",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.