Sebastian Freeman Smith, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

239177 Issued in AZ

Practice address

9200 N Central Ave Ste 2
Phoenix, AZ 85020-2463

Phone

(480) 999-4954

Fax

(480) 999-4712

NPI assigned

Mar 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Unomed LLCGroup PAC ID 7416261086, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrazo Central Campus Hospital, Phoenix, AZ, CCN 030030
• City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138
• Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpolo149348@cityofhope.direct-ci.com

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.

• City of Hope Medical Group of Arizona LLC

  • Medical Oncology Physician
  • Goodyear, AZ
  • NPI 1609026806

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Unomed LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1972912228
  Medicare reassignment Care Compare group NPD
• Alveo LC

  • Pulmonary Disease Physician
  • Phoenix, AZ
  • NPI 1639517436
  Medicare reassignment
• Maricopa Pulmonary Consultants LLC

  • Pulmonary Disease Physician
  • Phoenix, AZ
  • NPI 1710413588
  Medicare reassignment
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS Acquisition Subsidiary Number 1 Inc

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1326022732
  Care Compare affiliation
• VHS of Phoenix Inc

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1477537363
  Care Compare affiliation
• Western Regional Medical Center Inc

  • Community/Retail Pharmacy
  • Goodyear, AZ
  • NPI 1710138037

  Hospital

  Care Compare affiliation
• Western Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1508029422
  Care Compare affiliation

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1750916797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "480-999-4954",
            "fax_number": "480-999-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "480-999-4954",
            "fax_number": "480-999-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SEBASTIAN",
        "middle_name": "FREEMAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "239177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004532",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Ann Smith, CNM
• Ryan James Smith
• Sandra M Smith, D.C.
• Sarah Ashley Smith, BCBA, LBA
• Sarai Dalila Smith
• Shae Smith
• Shana Rae Smith, FNP-BC
• Shanti Smith, RBT
• Shauna Marie Smith, DNP, WHNP-BC
• Shawn Wyatt Smith, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.