Amy Elizabeth Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111410 Issued in TX

Practice address

11266 Taylor Draper LN Apt 2613
Austin, TX 78759-3973

Phone

(318) 655-0632

NPI assigned

Aug 25, 2018

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

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Louisiana State University School of Medicine in Shreveport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jumpstart Services IncGroup PAC ID 0345595237, 7 clinicians

Zia Therapy and Pain Relief IncGroup PAC ID 9133562416, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zia Therapy and Pain Relief Inc

  • Multi-Specialty Clinic/Center
  • Rio Rancho, NM
  • NPI 1194586362
  Medicare reassignment Care Compare group NPD
• Jumpstart Services Inc

  • Specialist
  • Austin, TX
  • NPI 1740711191
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1871074088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11266 TAYLOR DRAPER LN APT 2613",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593973",
            "telephone_number": "318-655-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11266 TAYLOR DRAPER LN APT 2613",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593973",
            "telephone_number": "318-655-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alister Smith
• Allison K Smith, N.P.
• Alyssa Nicole Smith, COTA
• Amanda C. Smith, LPC
• Amy Smith, CCC-A
• Ann Smith
• Anna Katherine Smith, M.ED, BCBA
• Anne Marie Smith, PT
• Archie Dan Smith Jr., MD
• Arthur M Smith, MD

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.