Amanda Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202007612 Issued in VA

Practice address

210 N Commerce Ave
Front Royal, VA 22630-4419

Phone

(540) 635-2171

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Warren County Public Schools

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Front Royal, VA
  • NPI 1225188915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1013408046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 OXBOW DR",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226575279",
            "telephone_number": "631-891-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N COMMERCE AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226304419",
            "telephone_number": "540-635-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Siever, RBT
• Audra Sites, RBT
• Skyline Dental Care
• Skyline Family Practice PC
• Skyline Medical Practice LLC
• Sadie Suzanna Smith
• Susan Smith
• Elizabeth Moomaw Somers, DO
• Spectacular Spectacles
• Tamara Denise Spriggs, MD, MPH

• Speech-Language Pathologist in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.