Nicole Sharron Smith, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

219371 Issued in AZ

Practice address

2836 E Indian School Rd Ste A8
Phoenix, AZ 85016-6864

Phone

(602) 840-0056

NPI assigned

Dec 29, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Novaspine Pain Institute, PLC

  • Pain Medicine Physician
  • Sun City West, AZ
  • NPI 1154745263
  Medicare reassignment NPD
• Novaspine Pain Institute, PLC

  • Pain Medicine Physician
  • Sun City West, AZ
  • NPI 1265233019
  NPD
• Indian School Medical Group, LLC

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1467925511
  NPD (past)

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1720550809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6610",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466610",
            "telephone_number": "480-926-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 E INDIAN SCHOOL RD STE A8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166864",
            "telephone_number": "602-840-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "SHARRON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "219371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Smith, MD
• Michael James Smith, MD
• Michelle N Smith, PHARM.D.
• Monica Smith, NP
• Nicholas Jay Smith
• Olivia Nicole Smith, PA-C
• Page Michael Smith, PHARM D, RPH
• Pamela Ruth Smith, M.S.W.
• Pamela S.W. Smith, M.D.
• Patricia Ann Smith, PNP

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.