Active NPI
Angela Smutek, H.N.W.P., C.F.N.S.
- Multi-Specialty Clinic/Center
- Phoenix, AZ
National Provider Identifier
1881161438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Practice address
- 10621 N 43Rd Ave
Phoenix, AZ 85029-3944 - Phone
- (602) 499-3243
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1190336148 | AZ | |
| Nutrition Education Nutritionist | 133NN1002X | AZ | ||
| Health & Wellness Coach | 171400000X | 1190336148 | AZ | |
| Health Educator | 174H00000X | AZ | ||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
10621 N 43Rd Ave
Phoenix, AZ 85029-3944
Mailing address
10621 N 43Rd Ave
Phoenix, AZ 85029-3944
Phone (602) 499-3243
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1190336148 | AZ | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Medicine and Detox Inc. | Multi-Specialty | Past | Accepting new patients |
| Natural Medicine and Detox Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Acupuncturist
- Phoenix, AZ
- NPI 1144853912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1881161438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10621 N 43RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293944",
"telephone_number": "602-499-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10621 N 43RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293944",
"telephone_number": "602-499-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMUTEK",
"first_name": "ANGELA",
"name_prefix": "Miss",
"credential": "H.N.W.P., C.F.N.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "AZ",
"license": "1190336148",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": "AZ",
"license": "1190336148",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.