Individual provider Active NPI

Amber Smith, FNP-BC

  • Family Nurse Practitioner
  • Redmond, WA
National Provider Identifier
1831812098
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61349472 Issued in WA
Practice address
15946 Redmond Way Ste 101
Redmond, WA 98052-4061
Phone
(425) 588-2500
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 292971 AZ
Family Nurse Practitioner 363LF0000X AP61349472 WA Primary

Addresses

Primary practice location

15946 Redmond Way Ste 101
Redmond, WA 98052-4061

Mailing address

15946 Redmond Way Ste 101
Redmond, WA 98052-4061
Phone (810) 355-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221202000926 WA Practitioner - Nurse Practitioner 4880063478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

23131 Bothell Everett Hwy
Suite B
Bothell, WA 98021-9362
Phone (425) 483-3335

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
292971AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Nov 11, 2022 Accepting new patients
Bastion Health PC Family CurrentSince Nov 1, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Nov 11, 2022 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

15946 Redmond Way
Ste 101
Redmond, WA 98052
Phone (425) 588-2500

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1831812098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15946 REDMOND WAY STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524061",
            "telephone_number": "810-355-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15946 REDMOND WAY STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524061",
            "telephone_number": "425-588-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2024-01-08",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "292971",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61349472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.