Kimberly Anne Smith, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

299520 Issued in AZ

Practice address

11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6061

Phone

(602) 494-5050

NPI assigned

Nov 19, 2018

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4

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.

• Camelback Womens Health, PC

  dba Camelback Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1447378518
  NPD
• Woman to Woman OB/GYN Medical Group, Inc

  • Obstetrics & Gynecology Physician
  • San Bernardino, CA
  • NPI 1871553347
  NPD (past)

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1689143778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 N WYATT DR STE 260",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126118",
            "telephone_number": "520-795-0549",
            "fax_number": "520-795-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286061",
            "telephone_number": "602-494-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 N 32nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183357",
            "country_code": "US",
            "telephone_number": "602-468-3912",
            "fax_number": "866-777-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "299520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Smith, BCBA
• Kendall L Smith, RD, CDE
• Kendall Philip Smith, PA
• Kevin C Smith, PHARMD
• Kimberly Smith
• Kimberly Michelle Smith, PHARMD
• Kris A Smith, MD
• Kristen Sue Smith, LMFT, LISAC
• Kylie Smith
• Ladd D. Smith, CRNA

• Women's Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.