Amanda C Smith, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60082849 Issued in WA

Practice address

9631 N Nevada St
Suite 101
Spokane, WA 99218-1133

Phone

(509) 688-8710

Fax

(509) 688-6790

NPI assigned

May 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amanda C Merritt Former name

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": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1679707434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2808",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202800",
            "telephone_number": "509-688-8710",
            "fax_number": "509-688-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST",
            "address_2": "SUITE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181133",
            "telephone_number": "509-688-8710",
            "fax_number": "509-688-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60082849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLUMBIA MEDICAL ASSOCIATES GROUP NPI  NUMBER",
            "identifier": "1154414761",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MERRITT",
            "middle_name": "C",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Marie Smith-Cline, CO61126587
• Robin Smith-Connery, SUDPT
• Aaron Smith
• Alexa Smith
• Alyssa Laverne Smith, MSW
• Amanda Marie Smith, LMHC-A, ATR-P
• Angela Smith, MSW, LICSWA
• Angilene Dawn Smith
• Anna Smith
• Avalise Lynn Jolie Smith, M.S. CF-SLP

• Massage Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.