AMANDA J SMITH (NPI# 1598112500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598112500 |
| Entity Type | Individual |
| Full Name | AMANDA J SMITH |
| Credential | TCADC |
| Practice Address |
1500 E 10th St Atlantic IA 50022-1935 |
| Practice Telephone | 7122435091 |
| Practice Fax Number | 7122431337 |
| Mailing Telephone | 7122435091 |
| Mailing Fax Number | 7122431337 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
T16069 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0177394 | 05 | |
| IA | WELLMARK | 68236 | 01 |
| 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 |
| Street Address |
1500 E 10TH ST |
| City | ATLANTIC |
| State | IA |
| Zip Code | 50022-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982675559 | Ivan Delgado-ramos | Psychiatry & Neurology | 1500 E 10th St, Atlantic, IA 50022-1935 | 2006-01-31 |
| 1386206522 | Kristopher Corrigan | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2019-07-08 |
| 1316403702 | Andrea Gomez | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2019-02-11 |
| 1043789183 | Alesia Jo Baxter | Registered Nurse | 1500 E 10th St, Atlantic, IA 50022-1935 | 2018-11-19 |
| 1871007997 | Damon B Clark | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-11-28 |
| 1225547094 | Cheree Kafton | Registered Nurse | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-09-25 |
| 1790219426 | Rebecka E Rosmann | Psychologist | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-04-19 |
| 1831637511 | Brian M Moorhead | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-02-02 |
| 1548707029 | Justina R Reeves | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-01-23 |
| 1568813475 | Southwest Iowa Mental Health Center | Case Manager/Care Coordinator | 1500 E 10th St, Atlantic, IA 50022-1935 | 2016-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227454 | Anna Johnson | Physical Therapy Assistant | 1510 E. 10th St, Atlantic, IA 50022 | 2016-10-27 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1730470212 | Jane Marie Turner | Registered Nurse | 1408 East 10th Street, Atlantic, IA 50022 | 2011-05-02 |
| 1215124532 | Assisted Living Concepts Inc | Assisted Living Facility | 1406 East 19th, Atlantic, IA 50022 | 2007-10-01 |
| 1558429134 | Roland J Flory | Podiatrist | 808 E 7th, Atlantic, IA 50022 | 2006-12-05 |
| 1073680344 | Douglas John Spicer | Dentist | 411 Poplar Street, Atlantic, IA 50022 | 2006-11-29 |
| 1235224536 | Atlantic Community School District | Local Education Agency (LEA) | 1100 Linn Street, Atlantic, IA 50022 | 2006-10-03 |
| 1518976653 | Center for The Advancement of Self Sufficiency Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1406 Sw 7th St, Atlantic, IA 50022 | 2006-08-07 |
| 1124099791 | Emerson Allen Link | Psychologist | 1408 E 10th St, Atlantic, IA 50022 | 2006-01-31 |
| 1205807872 | Rebecca R Sponsler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2006-01-31 |
| Find all providers in zip 50022 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386206522 | Kristopher Corrigan | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2019-07-08 |
| 1316403702 | Andrea Gomez | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2019-02-11 |
| 1871007997 | Damon B Clark | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-11-28 |
| 1831637511 | Brian M Moorhead | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-02-02 |
| 1548707029 | Justina R Reeves | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-01-23 |
| 1114377272 | Celeste L Borts | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2016-06-20 |
| 1972967495 | Timothy J Pafford | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2016-04-11 |
| 1457713216 | Brenda L Rolf | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2016-03-22 |
| 1013377878 | Tawna L Rutherford | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2016-03-07 |
| 1700246048 | Tammy K Dozier | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2016-02-29 |
| Find all providers in ATLANTIC | ||||
Please comment or provide details below to improve the information on AMANDA J SMITH.
| 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.