Amy Christine Smith

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

RN280446L Issued in PA

Practice address

5901 Bowen Daniel Dr Unit 107
Tampa, FL 33616-1454

Phone

(813) 965-1129

NPI assigned

Oct 16, 2020

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

State licenses

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1679171185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BOWEN DANIEL DR UNIT 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161454",
            "telephone_number": "813-965-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BOWEN DANIEL DR UNIT 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161454",
            "telephone_number": "813-965-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "PA",
            "license": "RN280446L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Smith, LCSW, BCABA
• Alexis Eileen Smith, BEHAVIOR TECHNICIAN
• Alyssa Suzette Smith, BA
• Amanda G Smith, MD
• Amari Smith
• Andrew Dylan Smith, PA-C
• Andrew Franklin Smith, MD
• Ann M Smith, RPH
• Austin Matthew Smith, DO
• Aysia Smith

• Adult Health Clinical Nurse Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Health Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.