TREVOR JAMES SMITH
NPI 1508617796
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since March 27, 2024PECOS Enrolled
1300 N 12TH ST STE 605, PHOENIX, AZ 85006(602) 255-7821 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trevor James Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREVOR JAMES SMITH (NPI 1508617796) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508617796
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTREVOR JAMES SMITH
Location Address1300 N 12TH ST STE 605Phoenix, AZ 85006-2850
Mailing Address1656 E Bluefield CirPhoenix, AZ 85022-1345 · (602) 380-6210
Sole ProprietorYes
Enumeration DateMarch 27, 2024
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
NPI 1508617796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 N 12TH ST STE 605, Phoenix, AZ 85006

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Trevor James Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Pharmacist (Ambulatory Care)
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
General Practice
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 605
PHOENIX, AZ 85006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Smith's NPI number?

The NPI number for Trevor Smith is 1508617796. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Trevor Smith located?

Trevor Smith practices at 1300 N 12th St Ste 605, Phoenix, AZ 85006. The listed phone number is (602) 255-7821.

What is Trevor Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Trevor Smith enrolled in Medicare?

Yes. Trevor Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trevor Smith was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.