Active NPI 1912256744 Individual Practitioner Female Practitioner

Sara Nicole Smith , NP

Nurse Practitioner - Pediatrics • Glendale, AZ

Professional Overview & Biography Verified Profile Summary

Sara Smith, NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Glendale, AZ. Practice services are available at 19007 N 67TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19007 N 67th Ave

Glendale, AZ 853087179

Telephone 6029330016

Associated Practice Facility / Clinic

🏢 Phoenix Children's Hospital Facility NPI 1760480503

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Glendale, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.5 Yrs

State Avg: 11.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Glendale, AZ (443 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-16

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AZ 309490

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License NV APRN001966

Definition to come...

Nurse Practitioner - Pediatrics, Critical Care

NUCC Taxonomy Code: 363LP0222X

State License OH 13818-NP

Definition to come...

Nurse Practitioner - Pediatrics, Critical Care

NUCC Taxonomy Code: 363LP0222X

State License NV APRN001966

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0131245 (OH)

Secondary Practice Locations

700 Childrens Dr

Columbus, OH 432052664

Phone: 6147222000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners

Patricia Thiel , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1043721095

CPNPPC

Dr. Jason Fraser , MD

Surgery - Pediatric Surgery

NPI 1083643159

Doctor of Medicine (M.D.)

Candace Fradette , FNP

Nurse Practitioner - Family

NPI 1144690280

Family Nurse Practitioner

Dr. Dorothy Rowe , MD

Surgery - Pediatric Surgery

NPI 1225010598

Doctor of Medicine (M.D.)

Dr. Erin Garvey , MD

Surgery - Pediatric Surgery

NPI 1255621405

Doctor of Medicine (M.D.)

Dr. David Notrica , MD

Surgery - Pediatric Surgery

NPI 1326020603

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 16, 2024

Registered at 19007 N 67TH AVE, GLENDALE, AZ 853087179 (Tel: 6029330016)

📍

Updated Business Mailing Address September 16, 2024

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 6029333124)

✅

NPI Profile Active August 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2015

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147222000)

📍

Updated Business Mailing Address August 20, 2015

Registered at 920 BAYHILL WAY, SPARKS, NV 894360874 (Tel: 3046540480)

👤

Provider Name / Credentials Updated August 20, 2015

Recorded as SARA SMITH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2015

Nurse Practitioner (License #APRN001966 in NV)

🟢

Initial NPI Registration & Enumeration September 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912256744

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 07, 2012

Last Update: September 16, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029333124

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.