Amanda M Smith

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

1035160 Issued in TX

Practice address

11851 Physicians Dr
El Paso, TX 79936-6280

Phone

(915) 493-6646

NPI assigned

Jan 27, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, TX2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.smith.1@13940.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Paso Center for Family & Sports Medicine PA

  • Sports Medicine (Family Medicine) Physician
  • El Paso, TX
  • NPI 1063777019

  Single Specialty

  Medicare reassignment NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448

  Single Specialty

  Medicare reassignment NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wauwatosa, WI
  • NPI 1154947224

  Single Specialty

  NPD
• Cinu Integrated Medical PA, PLLC

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1831612738

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1770047474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 PHYSICIANS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366280",
            "telephone_number": "915-493-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 PHYSICIANS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366280",
            "telephone_number": "915-493-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "1035160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770047474",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Straight Orthodontics, PLLC
• Smiles 4 Less Orthodontics, P.a.
• Smiles Orthodontics
• Stephanie Smilo, AGACNP-BC
• Smith Chiropractic LLC
• Annie T Smith, PH.D.
• Antijuanne Smith
• Audrey Anna Smith, APRN-C
• Brent Andrew Smith, DPT
• Charlotte H Smith, MD

• Sports Medicine (Family Medicine) Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.