Amanda Ann Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704264790 Issued in MI

Practice address

2025 S Washington Ave
Lansing, MI 48910-0828

Phone

(855) 336-6707

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1588267660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 CHARLOTTE LANDING RD",
            "city": "SPRINGPORT",
            "state": "MI",
            "postal_code": "492849411",
            "telephone_number": "517-749-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S WASHINGTON AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100828",
            "telephone_number": "855-336-6707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Charlotte Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Springport",
            "state": "MI",
            "postal_code": "492849411",
            "country_code": "US",
            "telephone_number": "517-749-1556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704264790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sliter
• Carla Smalec, RN
• Garrett Smigelski, PA-C
• Katelyn Ann Smiles, MD
• Abigail Noelle Smith, MSW, LMSW, LISW
• Andre' Blair Smith, MD
• Angela Lynne Smith, LLPC
• Beth Smith, RN
• Britni Leigh Smith, DO, MPH
• Cassandra Marie Smith

• Registered Nurse in Lansing, MI
• Providers in Lansing, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.