Renee Smith, DNP, NP-C
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Parker, AZ
NPI 1669189288 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1669189288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- 12934 (CA)
- Practice address
- 12033 Agency Rd
Parker, AZ 85344-7718 - Phone
- (928) 669-2137
- Fax
- (928) 669-3131
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHHS IHS Phoenix Area
DHHS IHS Phoenix Area
Practice addresses (Care Compare)
12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137
943 Hualapai Way
Peach Springs Health Center
Peach Springs, AZ 86434-0190
Phone (928) 769-2900
Hospital & facility affiliations
- Parker Indian Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250227001051 | TX | Practitioner - Nurse Practitioner | 9537697818 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Single Specialty | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Single Specialty | Current |
Accepting new patients |
| DHHS IHS Phoenix Area | Single Specialty | Current |
Accepting new patients |
| DHHS IHS Phoenix | Single Specialty | Current |
Accepting new patients |
| Obria Medical Clinics of Southern California, Inc. | Single Specialty | Current |
Accepting new patients |
| Irene Benn Medical Center | Single Specialty | Current |
Accepting new patients |
| Erica L. Dickson, DO Inc. | Single Specialty | Past |
Accepting new patients |
Locations
12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137
2001 E 1st St
Ste 209
Santa Ana, CA 92705
Phone (714) 516-9045
Interoperability endpoints
- renee.smith.1@15187.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner |
363LX0001X | 12934 | CA | Yes |
Addresses
Primary practice location
12033 Agency Rd
Parker, AZ 85344-7718
Mailing address
PO Box 95461
Cleveland, OH 44101-0033
Phone (928) 669-2137
Other practice location 1
2001 E 1st St Ste 209
Santa Ana, CA 92705-4048
Phone (714) 516-9045
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsmith785@obria.org | Health Information Exchange (HIE) |
Other providers in Parker, AZ
- Arnie Ray Short
- Roberta Rae Short
- Eric E Sisam
- Matthew Ruhmann Slater
- Randall B. Smith
- Shazia Sohrawardy
- Kangja B Song-Han
- Sonoran Cardiology, PLLC
- Armando Sosa Jr.
- Richard Lawrence Stanley
All providers in Parker, AZ · Obstetrics & Gynecology Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.