Christine a Smith PL

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4921 Issued in AZ

Legal business name

CHRISTINE A SMITH PL

Doing business as

Peak Medical & Wellness Center

Practice address

41810 N Venture Dr Unit E160
Anthem, AZ 85086-3177

Phone

(623) 233-0025

Fax

(623) 266-3053

NPI assigned

Nov 22, 2015

Last updated

Nov 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Ann SmithNPI 1942636410

Title

Nurse Practitioner

Phone

(623) 233-0025

Specialties & licenses 6

Addresses

Other names 1

• Peak Medical & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Ann Smith

  • Family Nurse Practitioner
  • Anthem, AZ
  • NPI 1942636410
  Medicare reassignment Authorized official
• Natalie C Kahle, FNP-C

  • Family Nurse Practitioner
  • Anthem, AZ
  • NPI 1720560501
  Medicare reassignment NPD

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1699149070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR UNIT E160",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863177",
            "telephone_number": "623-233-0025",
            "fax_number": "623-266-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR UNIT E160",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863177",
            "telephone_number": "623-233-0025",
            "fax_number": "623-266-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE A SMITH PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2023-11-30",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-233-0025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Medical & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth J Castela, PTA
• Center for Orthopedic Research and Education Inc (The Core Institute)
• Maham Fayyaz Chaudhry, DMD
• Yangming Meader Chen, ACUPUNCTURIST
• Michelle E Choi, DDS
• Joan Frances C Chua, MD
• Cigna Health Care of Arizona, Inc. (CIGNA-CMG Care Today-Anthem, CMG Care Today-Anthem)
• Molly C Clancy, DPT
• September Clark
• Andi M Coffee, NUTRITIONIST

• Family Nurse Practitioner in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.