Active NPI
Amelia Ann Smith, PHD, PMHCNS,BC
- Adult Psychiatric/Mental Health Registered Nurse
- Sandusky, OH
National Provider Identifier
1992847859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN-095521
- Practice address
- 4806 Timber Commons Dr
Sandusky, OH 44870-7161 - Phone
- (419) 503-0906
- Fax
- (419) 616-3966
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN-095521 | OH | Primary |
Addresses
Primary practice location
4806 Timber Commons Dr
Sandusky, OH 44870-7161
Mailing address
813 Seneca Ave
Huron, OH 44839-1842
Phone (419) 433-3573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-095521 | OH | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1992847859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 SENECA AVE",
"city": "HURON",
"state": "OH",
"postal_code": "448391842",
"telephone_number": "419-433-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4806 TIMBER COMMONS DR",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448707161",
"telephone_number": "419-503-0906",
"fax_number": "419-616-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMELIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD, PMHCNS,BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "OH",
"license": "RN-095521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.