Organization Active NPI

Kathy W Smith MD PLLC

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1952555716
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31269 Issued in AZ
Legal business name
KATHY W SMITH MD PLLC
Practice address
6837 N Oracle Rd
#14
Tucson, AZ 85704-4222
Phone
(520) 297-7001
Fax
(520) 297-7002
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Kathy W Smith, MDNPI 1629087143
Title
MD Owner Provider
Phone
(520) 297-7001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 31269 AZ Primary

Addresses

Primary practice location

6837 N Oracle Rd
#14
Tucson, AZ 85704-4222

Mailing address

6837 N Oracle Rd
#14
Tucson, AZ 85704-4222
Phone (520) 297-7001

Other identifiers 1

IdentifierTypeStateIssuer
907983MedicaidAZ

National Provider Directory

National Provider Directory

Locations

6837 N Oracle Rd
#14
Tucson, AZ 85704
Phone (520) 297-7001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1952555716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 N ORACLE RD",
            "address_2": "#14",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044222",
            "telephone_number": "520-297-7001",
            "fax_number": "520-297-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 N ORACLE RD",
            "address_2": "#14",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044222",
            "telephone_number": "520-297-7001",
            "fax_number": "520-297-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY W SMITH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD OWNER PROVIDER",
        "authorized_official_telephone_number": "520-297-7001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "31269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907983",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.