Active NPI
Amanda L Smith
- School Psychologist
- Belton, TX
National Provider Identifier
1013593094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 34685
- Practice address
- 183 Lake Forest Dr
Belton, TX 76513-9200 - Phone
- (254) 760-8004
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 34685 | TX | Primary |
Addresses
Primary practice location
183 Lake Forest Dr
Belton, TX 76513-9200
Mailing address
183 Lake Forest Dr
Belton, TX 76513-9200
Phone (254) 760-8004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34685 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1013593094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 LAKE FOREST DR",
"city": "BELTON",
"state": "TX",
"postal_code": "765139200",
"telephone_number": "254-760-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 LAKE FOREST DR",
"city": "BELTON",
"state": "TX",
"postal_code": "765139200",
"telephone_number": "254-760-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMANDA",
"middle_name": "L",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "TX",
"license": "34685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.