Active NPI
Amanda Smith, MD
- Pediatrics Physician
- Batesville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E-12155
- Practice address
- 1700 Harrison St Ste N
Batesville, AR 72501-7315 - Phone
- (870) 262-2200
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | E-12155 | AR | Primary |
Addresses
Primary practice location
1700 Harrison St Ste N
Batesville, AR 72501-7315
Mailing address
1700 Harrison St Ste N
Batesville, AR 72501-7315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12155 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Pediatrics | Current | Accepting new patients |
| White River Health System Inc | Current | Accepting new patients |
Locations
1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240
16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361
1700 Harrison St
Ste N
Batesville, AR 72501
Phone (870) 262-2200
195 Hospital Dr
Ste B
Cherokee Vlg, AR 72529
Phone (870) 257-6000
105 Case Commons Dr
Mountain View, AR 72560
Phone (870) 269-4144
501 Vine St
Newark, AR 72562
Phone (870) 799-3299
1217 Batesville Blvd
Southside, AR 72501
Phone (870) 262-2800
1217 Batesville Blvd
#F
Southside, AR 72501
Phone (870) 262-2800
Interoperability endpoints
- amanda.smith.1@13831.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Cave City, AR
- NPI 1568442127
-
- Rural Health Clinic/Center
- Mountain View, AR
- NPI 1457396616
-
- Rural Health Clinic/Center
- Cherokee Village, AR
- NPI 1568432144
-
- Rural Health Clinic/Center
- Batesville, AR
- NPI 1104275486
-
- Rural Health Clinic/Center
- Newark, AR
- NPI 1467519249
-
- Family Medicine Physician
- Batesville, AR
- NPI 1881050334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1588028302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HARRISON ST STE N",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HARRISON ST STE N",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017315",
"telephone_number": "870-262-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMANDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-12155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.