Individual provider Active NPI

Amy Joy Fishman-Smith, RN, NP

  • Ambulatory Women's Health Care Registered Nurse
  • Orange, CA
National Provider Identifier
1669761003
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
393692 Issued in CA
Practice address
1440 E Chapman Ave
Orange, CA 92866-2221
Phone
(714) 782-0042
Fax
(650) 241-1129
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 393692 CA Primary

Addresses

Primary practice location

1440 E Chapman Ave
Orange, CA 92866-2221

Mailing address

3419 E Chapman Ave # 404
Orange, CA 92869-3812
Phone (714) 782-0042

Other names 1

  • Amy Joy Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 24, 2024 through May 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
393692CAMDAmbulatory Women's Health Care Registered Nurse
5284CAMDSpeech-Language Assistant

Interoperability endpoints

  • Direct secure messaging: amy.fishman-smith@13375180111876.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1669761003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 E CHAPMAN AVE # 404",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693812",
            "telephone_number": "714-782-0042",
            "fax_number": "650-241-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662221",
            "telephone_number": "714-782-0042",
            "fax_number": "650-241-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN-SMITH",
        "first_name": "AMY",
        "middle_name": "JOY",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "393692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SMITH",
            "middle_name": "JOY",
            "credential": "RN, NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.