Amanda F Smith

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

24-01269 Issued in KS

Practice address

605 6TH St
Baldwin City, KS 66006-4202

Phone

(785) 813-3980

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1124529441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 6TH ST",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660064202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 6TH ST",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660064202",
            "telephone_number": "785-813-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "KS",
            "license": "24-01269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Schoenberger, LMSW
• Jennifer Ann Schweda, APRN-C
• Soichiro Shiota, LAT, ATC
• Anna Skaggs, PT, DPT
• Cassidy Smart
• Gary Stevanus, ATC
• Sara Strand
• James Lewis Sturgis, M.D.
• Vintage Park at Baldwin LLC
• Michael Leroy Vinyard

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Baldwin City, KS
• Providers in Baldwin City, KS by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.