Olivia Nicole Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8985 Issued in AZ

Practice address

1311 E Thomas Rd
Phoenix, AZ 85014-5707

Phone

(602) 322-1315

NPI assigned

Mar 18, 2022

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

Physician Assistant

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.

• 303 Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Yuma, AZ
  • NPI 1518398585
  Medicare reassignment
• Emcare - PNX Emergency Physicians LLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1902855992
  Medicare reassignment
• Feliz Family Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1538533799
  Medicare reassignment
• Honorhealth

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1801092564
  Medicare reassignment
• Loop 101 Emergency Physicians LLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1376573378
  Medicare reassignment
• Honorhealth

  • Prosthetic/Orthotic Supplier
  • Peoria, AZ
  • NPI 1386456762
  NPD
• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1386608859
  NPD
• Scottsdale Healthcare

  • Corporate Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1447402870
  NPD (past)

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1740939743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E JEFFERSON ST APT 1010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850040410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145707",
            "telephone_number": "602-322-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "OLIVIA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.