Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kolter Lee Smith, PMHNP-BD

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063130227

Dr. Kolter Lee Smith, PMHNP-BD is a Nurse Practitioner in Chandler, Arizona. Qualified in 2022, 4 years ago. Practices with East Valley Psychiatry LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022

Practice location Address checks out

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone: (480) 728-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 279313 (AZ)

Record details

NPI number1063130227
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BD
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice East Valley Psychiatry Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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