Terry Smith Family Healthcare, PLLC
NPI 1104463330ActiveOrganization· Nurse Practitioner, Family· Flagstaff, AZ
Nurse Practitioner, Family in Flagstaff, Arizona, registered in NPPES in December 2019. The authorized official on file is Terry Elaine Smith, FNP, Business Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104463330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2019 |
| Last updated in NPPES | Dec 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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