AMANDA MILAN SMITH


Address: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998
Phone: 4232821480

AMANDA MILAN SMITH (NPI# 1487008835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487008835
Entity Type Individual
Full Name AMANDA MILAN SMITH
Credential FNP
Practice Address 119 Boone Ridge Dr
Suite 201
Johnson City
TN 37615-4998
Practice Telephone 4232821480
Mailing Telephone 4232821480
Enumeration Date 2016-04-21
Last Update Date 2016-05-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 20675 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers AMANDA SMITH

NPI Name Taxonomy Address Enumeration
1508467010 Amanda Dawn Smith Physician Assistant 1621 Spruce St, Zanesville, OH 43701-2534 2020-11-03
1689281297 Amanda Joy Smith Massage Therapist 4915 Rue Vallee Apt 89, Indianapolis, IN 46227-6660 2020-09-28
1902422033 Amanda Elaine Smith Nurse Practitioner 116 Tracy Miles Rd, Franklin, IN 46131-5547 2020-06-24
1619500519 Amanda Leigh Smith Marriage & Family Therapist 1012 Greta St, El Cajon, CA 92021-3258 2020-02-19
1245861335 Amanda Monique Leanne Smith Massage Therapist 4400 Bayou Blvd Ste 26b, Pensacola, FL 32503-1908 2020-01-28
1811544414 Amanda Rae Smith Behavior Technician 105 Clubhouse Cir Apt 102, Idaho Falls, ID 83401-4328 2019-08-20
1306400072 Amanda J Smith Occupational Therapy Assistant 8811 Sandy Plains Dr, Riverview, FL 33578-8619 2019-04-27
1861056079 Amanda Lynn Smith Nurse Practitioner 3785 E Stampede Dr, Gilbert, AZ 85297-8203 2019-04-24
1164996864 Amanda Marie Smith Student in an Organized Health Care Education/Training Program 527 12th Ave E Apt 203, Seattle, WA 98102-5114 2019-01-15
1245701796 Amanda Michelle Smith Dietitian, Registered 20 Columbia Pl Apt B045, Brooklyn, NY 11201-4591 2018-12-10

Office Location

Street Address 119 BOONE RIDGE DR
SUITE 201
City JOHNSON CITY
State TN
Zip Code 37615-4998

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639161722 Melissa Dawn Venoy Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2005-08-16
1083157788 Amy Hamilton Nurse Practitioner 119 Boone Ridge Dr, Ste 201, Johnson City, TN 37615-8000 2016-11-29
1366992851 Nikki Daniell Vaughn Registered Nurse 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-10-07
1790230183 Laura Casey Registered Nurse 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-08-16
1104277656 Ipc Pac Healthcare Services of Tennessee PC Psychologist 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-06-27
1083084560 Hannah Audia Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-09-28
1033593223 Carleen Marie Ogle Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-07-17
1104209675 Lindsey Townsend Elswick Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-07-02
1811379639 Stacey Hubbard Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-06-29
1689077810 Kayla Leann Taylor Emergency Medicine 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2014-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568962983 Clayton Kilgore Pharmacist 208 Suncrest St Unit 1, Gray, TN 37615 2018-02-13
1346648268 Jesse Mullins Pharmacist 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 2014-12-09
1750650875 Medical Education Assistance Corporation Pediatrics 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 2011-12-19
1700018603 Anna Lynne Deal Nurse Practitioner 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 2009-08-11
1285876631 Leigh A Furman Occupational Therapist 253 Wiltshire Dr., Gray, TN 37615 2009-04-01
1811098908 Fay Lynn Bembry Nurse Practitioner 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 2006-09-25
1871528976 Boones Creek Medical Pllc Family Medicine 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 2006-07-11
1568402048 Joseph Vincent Pinyard Jr. Family Medicine 880 Boones Station Rd, Johnson City, TN 37615 2006-06-07
1548223084 Pitchar Theerathorn Internal Medicine 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 2006-04-07
1194717157 Susan Kay Pennypacker Nurse Practitioner 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 2005-08-16
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205468923 Bobby Ray Nichols IIi Nurse Practitioner 2708 S Greenwood Dr, Johnson City, TN 37604-3260 2020-02-11
1932748829 Shape Shifters Weight Loss and Joint Center Nurse Practitioner 104 University Pkwy Ste 1, Johnson City, TN 37604-7349 2019-12-26
1205484920 Violetta Ward Nurse Practitioner 1505 Chickees St, Johnson City, TN 37604-7102 2019-08-27
1972077816 Betty Christian Kinser Nurse Practitioner 3135 Peoples St Ste 303, Johnson City, TN 37604-4130 2019-01-14
1912489261 Casey Lynn Davis Nurse Practitioner 208 Sunset Dr Ste 340, Johnson City, TN 37604-2521 2018-09-04
1356831101 Sheena L Tullock Nurse Practitioner 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 2018-05-17
1093212516 Brandy Michelle Story Nurse Practitioner 1321 Sunset Dr Ste 11, Johnson City, TN 37604-7902 2018-04-11
1265959316 Ashley Gross Nurse Practitioner 411 Princeton Rd Ste 101, Johnson City, TN 37601-2049 2017-08-29
1114454857 Janet Gar Nurse Practitioner 1319 Bell Ridge Rd Apt 703, Johnson City, TN 37601-8021 2017-05-12
1720527674 Kristina Bagley Nurse Practitioner 101 Medtech Parkway, Suite 200, Johnson City, TN 37604-4007 2017-02-13
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Competitor

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City JOHNSON CITY
Zip Code 37615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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