Individual provider Active NPI

Tyronda Devon Smith, ND

  • Naturopath
  • Scottsdale, AZ
National Provider Identifier
1811649965
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
21-1665 Issued in AZ
Practice address
20801 N Scottsdale Rd Ste 205
Scottsdale, AZ 85255-7411
Phone
(480) 388-3265
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 21-1665 AZ Primary

Addresses

Primary practice location

20801 N Scottsdale Rd Ste 205
Scottsdale, AZ 85255-7411

Mailing address

5023 N 18TH St Apt 218
Phoenix, AZ 85016-4038
Phone (313) 806-4686

Other practice location 1

2318 S McClintock Dr
Tempe, AZ 85282-2665
Phone (480) 568-0252

Other identifiers 1

IdentifierTypeStateIssuer
21-1665OtherAZAZND BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Optimantra

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
21-1665AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1811649965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 N 18TH ST APT 218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164038",
            "telephone_number": "313-806-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 N SCOTTSDALE RD STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557411",
            "telephone_number": "480-388-3265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2318 S McClintock Dr",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852822665",
            "country_code": "US",
            "telephone_number": "480-568-0252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYRONDA",
        "middle_name": "DEVON",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "21-1665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZND BOARD",
            "identifier": "21-1665",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Optimantra",
            "affiliation": "N",
            "address_1": "20801 N Scottsdale Rd Ste 205",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852557411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.