Cristal Angenia Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN142045 Issued in AZ

Practice address

16638 N 90TH St
Scottsdale, AZ 85260-1539

Phone

(520) 609-5442

NPI assigned

May 6, 2021

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 names 1

• Cristal Angenia Fisher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Epic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
  • NPI 1578147484
  NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1740864701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16638 N 90TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16638 N 90TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601539",
            "telephone_number": "520-609-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRISTAL",
        "middle_name": "ANGENIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN142045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTAL",
            "last_name": "FISHER",
            "middle_name": "ANGENIA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bradford Smith, M.D.
• Brandon Tomas Smith
• Cathleen J Smith, M.D.
• Christine Marie Smith, PHARM.D.
• Cody Smith
• David Campbell Smith, NP
• Devin Smith
• Douglas J. Smith, M.D.
• Elizabeth Smith, CRNP
• Elizabeth Ann Smith, LCSW

• Registered Nurse in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.