Amber Dawn Smyly

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1264 Issued in AR

Practice address

1607 Stone St
Jonesboro, AR 72401-5332

Phone

(870) 932-5551

Fax

(870) 932-5552

NPI assigned

Sep 13, 2017

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

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1750800587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHAWNEE",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723968171",
            "telephone_number": "501-802-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015332",
            "telephone_number": "870-932-5551",
            "fax_number": "870-932-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYLY",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulisa D Smith
• Victoria Smith
• Wendell E Smith, LPC
• William Mark Smith, LCSW
• Shannon Smithee, MHPP
• Elizabeth Jean Sneed, APRN
• Jane M Sneed, M.D.
• Snell Prosthetic & Orthotic Laboratory
• Rian Reid Snell, PHARM.D.
• Snider Performance & Spine

• Occupational Therapy Assistant in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.