Amber Michelle Smith, RT(R)(MR)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

R0014063 Issued in MD

Practice address

9953 Worman Dr
King George, VA 22485-7558

Phone

(571) 358-4093

NPI assigned

Jan 19, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1598624272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206040835",
            "telephone_number": "571-358-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9953 WORMAN DR",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224857558",
            "telephone_number": "571-358-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBER",
        "middle_name": "MICHELLE",
        "credential": "RT(R)(MR)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MD",
            "license": "R0014063",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "VA",
            "license": "0120013063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Anne Shearon, PA-C
• Winfield Scott Shirk, DDS
• Lillian Jade Simon
• Jennifer Gail Sindelar
• Hollie Elizabeth Sisemore
• Daysiemae Smith
• Spap Holding Corp. (King George Family Chiropractic)
• Philip James Spory, DDS
• Sonya Lea Stagnoli, LPC LMFT
• Mohamed Amine Stambouli, CSA

• Radiologic Technologist in King George, VA
• Providers in King George, VA by specialty
• Radiologic Technologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; 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.