Angela Michelle Smith, A.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP2415 Issued in AZ

Practice address

6499 S Kings Ranch Rd
Ste 9
Gold Canyon, AZ 85218-2902

Phone

(480) 982-6000

Fax

(480) 982-0265

NPI assigned

Jul 25, 2006

Last updated

Oct 12, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Cardiac Specialists, Chartered

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1912174590
  NPD (past)
• New Medicine PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1811061914
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1831112515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63423",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850823423",
            "telephone_number": "480-892-2800",
            "fax_number": "480-982-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6499 S KINGS RANCH RD",
            "address_2": "STE 9",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852182902",
            "telephone_number": "480-982-6000",
            "fax_number": "480-982-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP2415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123897",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew John Scheerhorn, DDS
• Tanya Shadle, PT, DPT
• Jaymes Shaw
• Ashley Shonley, RN
• Scott Eric Sjoberg, RPH
• Dana Smith
• Southwest DME, LLC.
• Vivian Stock, PHARM D.
• Stripes Urgent Care, LLC
• Lori Sullivan, MSPT

• Adult Health Nurse Practitioner in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.