Amanda Nicole Smith, AMANDA CARD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28487 Issued in CA

Practice address

537 Cajon St
Redlands, CA 92373-5903

Phone

(909) 534-7494

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Nicole Card 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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1962542399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 PIEDMONT DR",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923461850",
            "telephone_number": "909-534-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 CAJON ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735903",
            "telephone_number": "909-534-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "AMANDA CARD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CARD",
            "middle_name": "NICOLE",
            "credential": "AMANDA CARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sleepmed of California, Inc.
• Sleepmed Therapies Inc.
• Elma M Slough
• Rachel Small
• Smile Bright Dental Corporation
• Anthony Giannini Smith II, PA-C
• Cheryl Ranea Smith, RN
• Christiana Smith
• Clarence E Smith
• Janice Varga Smith, D.C.

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.