Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Ray Smith, FNP-C

Individual provider Nurse Practitioner · NPI 1326721796

Shane Ray Smith, FNP-C is a Nurse Practitioner in Peoria, Arizona. Qualified in 2023, 3 years ago. Practices with Honorhealth, a 65-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

10230 W Happy Valley Pkwy
Peoria, AZ 85383-4691
Phone: (623) 561-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 300208 (AZ)

Record details

NPI number1326721796
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address21735 N 119th Dr, Sun City, AZ 85373-5650

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Honorhealth — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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