Active NPI
Allyson Smith
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1710668553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9850
- Practice address
- 9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454 - Phone
- (602) 584-5444
- Fax
- (602) 584-6202
- NPI assigned
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9850 | AZ | Primary |
Addresses
Primary practice location
9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454
Mailing address
9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454
Phone (602) 584-5444
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9850 | AZ | MD | Physical Therapist |
Organizations & group practices 1
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": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1710668553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9520 W PALM LN STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374454",
"telephone_number": "602-584-5444",
"fax_number": "602-584-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 W PALM LN STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374454",
"telephone_number": "602-584-5444",
"fax_number": "602-584-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALLYSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.