Michelle Lindsay Smudde, CNMT, RT(N), NCT

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

00674 Issued in AZ

Practice address

650 E. Indian School Road
Phoenix, AZ 85012-1892

Phone

(314) 629-4548

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Lindsay Macdonald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992914469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852365500",
            "telephone_number": "314-629-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E. INDIAN SCHOOL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121892",
            "telephone_number": "314-629-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUDDE",
        "first_name": "MICHELLE",
        "middle_name": "LINDSAY",
        "credential": "CNMT, RT(N), NCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "AZ",
            "license": "00674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MACDONALD",
            "middle_name": "LINDSAY",
            "credential": "CNMT, RT(N), NCT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Smiths Food & Drug Centers Inc (Fry's Pharmacy #698)
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Jennifer Nicole Smitt, ACNP
• Charles Raman Smoljan, PHARM. D, RPH
• Christopher Smreczak, PA-C
• Kia Smurawa, MD
• Angela Smutek, H.N.W.P., C.F.N.S.
• Gregory G Smyth, FNP
• Laura Maria Smyth, LISAC
• Tyler Smyth, PTA

• Radiologic Technologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Radiologic Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.