Individual provider Active NPI

Tanika Smith, LMT

  • Nurse Massage Therapist (NMT)
  • Phoenix, AZ
National Provider Identifier
1760076160
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
MT-27152 Issued in AZ
Practice address
10 E Bell Rd Apt 1006
Phoenix, AZ 85022-6302
Phone
(317) 366-3419
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT)Group: 193400000X SINGLE SPECIALTY GROUP 163WM1400X MT-27152 AZ Primary

Addresses

Primary practice location

10 E Bell Rd Apt 1006
Phoenix, AZ 85022-6302

Mailing address

10 E Bell Rd Apt 1006
Phoenix, AZ 85022-6302
Phone (317) 366-3419

Other names 1

  • Tanika Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT-27152AZMDNurse Massage Therapist (NMT)

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1760076160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E BELL RD APT 1006",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226302",
            "telephone_number": "317-366-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E BELL RD APT 1006",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226302",
            "telephone_number": "317-366-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TANIKA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "AZ",
            "license": "MT-27152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIKA",
            "last_name": "SMITH",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.