Erika Nikole Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2944 Issued in AZ

Practice address

6780 W Thunderbird Rd
Suite A101
Peoria, AZ 85381-5049

Phone

(602) 843-1991

Fax

(602) 843-3224

NPI assigned

Mar 23, 2006

Last updated

Aug 21, 2014By the provider in NPPES

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

Other identifiers 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Medical Group, LTD

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1003096801
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1740240910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 W THUNDERBIRD RD",
            "address_2": "SUITE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815049",
            "telephone_number": "602-843-1991",
            "fax_number": "602-843-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 W THUNDERBIRD RD",
            "address_2": "SUITE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815049",
            "telephone_number": "602-843-1991",
            "fax_number": "602-843-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIKA",
        "middle_name": "NIKOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854788",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey James Smith
• Brenda Leigh Smith, R.N.
• Brittany Smith
• Chastina Smith, SPLA
• Dorothy E Smith, DNP, RN, FNP-BC
• Jessica Carmen Smith, BSN, RN
• Johnny Lee Smith, D.M.D.
• Kerry Smith
• Lori Smith, LPC
• Madison Rose Smith, PT, DPT

• Medical Physician Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.