NPIMap

Individual provider Active NPI

Amy Lynn Smith, PA-C

  • Medical Physician Assistant
  • Olympia, WA
National Provider Identifier
1306407648
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61466176 Issued in WA
Practice address
601 McPhee Rd SW BLDG 1
Olympia, WA 98502-5080
Phone
(360) 596-4614
Fax
(360) 596-4615
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA61466176 WA Primary

Addresses

Primary practice location

601 McPhee Rd SW BLDG 1
Olympia, WA 98502-5080

Mailing address

PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
Phone (253) 459-8231

Other practice location 1

45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230228002049 NC Practitioner - Physician Assistant 9537491329 Reassigns benefits to 1 organization
I20240424000667 WA Practitioner - Physician Assistant 9537491329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians

Practice addresses (Care Compare)

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

601 McPhee Rd SW
BLDG 1
Olympia, WA 98502-5080
Phone (360) 706-6282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.75 of 100Reported as group
Quality
77.19
Promoting interoperability
86
Improvement activities
40
Cost
80.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023868NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas Inc CurrentSince Jan 1, 2023 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Jan 1, 2023 Accepting new patients

Locations

3716 Morganton Rd
Ste 1
Fayetteville, NC 28303
Phone (910) 715-8700

10 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 215-5555

Interoperability endpoints

  • FHIR API: https://epicrp.firsthealth.org/FHIR-PRD/FHMYCHART/api/FHIR/R4

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1306407648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299",
            "telephone_number": "253-459-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MCPHEE RD SW BLDG 1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025080",
            "telephone_number": "360-596-4614",
            "fax_number": "360-596-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Reade Pl",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126013947",
            "country_code": "US",
            "telephone_number": "845-454-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61466176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.