Individual provider Active NPI

Todd M Smith, ARNP

  • Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1801869664
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30006301 Issued in WA
Practice address
15812 E Indiana Ave
Spokane Valley, WA 99216-1875
Phone
(509) 444-8200
Fax
(509) 434-0392
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30006301 WA Primary

Addresses

Primary practice location

15812 E Indiana Ave
Spokane Valley, WA 99216-1875

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20130613000508 WA Practitioner - Nurse Practitioner 7618050063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Association of SpokaneGroup PAC ID 9638063217, 222 clinicians

Practice addresses (Care Compare)

1001 W 2ND Ave
Spokane, WA 99201-4503
Phone (509) 835-1206

15812 E Indiana Ave
Spokane Valley, WA 99216-1875
Phone (509) 444-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Mar 24, 2015 Accepting new patients
Community Health Association of Spokane CurrentSince Mar 24, 2015 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
The Lakes Region Mental Health Center, Inc. PastSince Sep 24, 2009 Accepting new patients
Columbia Capital Medical Center LP Past Accepting new patients
Healthfirst Family Care Center, Inc. Past Accepting new patients

Locations

203 N Washington St
Ste 300
Spokane, WA 99201

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 462-6575

611 N Iron Bridge Way
Spokane, WA 99202

15812 E Indiana Ave
Spokane Valley, WA 99216

15812 E Indiana Ave
Ste 101
Spokane Valley, WA 99216

Interoperability endpoints

  • Direct secure messaging: todd.smith.1@11411.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1801869664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N IRON BRIDGE WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024932",
            "telephone_number": "509-444-8888",
            "fax_number": "509-444-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15812 E INDIANA AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161875",
            "telephone_number": "509-444-8200",
            "fax_number": "509-434-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.