AMANDA SMITH


Address: 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550
Phone: 8586892027

AMANDA SMITH (NPI# 1013573567) 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) 1013573567
Entity Type Individual
Full Name AMANDA SMITH
Practice Address 9466 Black Mountain Rd Ste 100
San Diego
CA 92126-4550
Mailing Address 10707 Esmeraldas Dr
San Diego
CA 92124-2009
Practice Telephone 8586892027
Mailing Telephone 6192524655
Enumeration Date 2019-05-09
Last Update Date 2019-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
Speech, Language and Hearing Service 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 9466 BLACK MOUNTAIN RD STE 100
City SAN DIEGO
State CA
Zip Code 92126-4550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225244767 Kathryn M Bovino Behavioral Analyst 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2007-05-14
1730780396 William Webb Behavior Technician 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2020-11-02
1861090789 Steven Roberts Behavior Technician 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2020-10-13
1255972220 Robert James Williams Behavior Technician 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2019-10-01
1326691395 Carli Proctor Behavior Technician 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2019-07-18
1730653296 Lelani Myburgh Specialist/Technologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126 2019-01-17
1225509177 Courtney Haight Specialist/Technologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2018-12-17
1699257352 Suzanne Louise Clements Specialist/Technologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2018-08-29
1174060586 Krystadare El-najjjar Speech-Language Pathologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2017-01-23
1407398811 Michelle Cohen Marriage & Family Therapist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 2016-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730741299 Eye Connection Optometry, Inc Optometrist 9516 Miramar Road, San Diego, CA 92126 2019-07-05
1811450935 Anne Phabmixay Student in an Organized Health Care Education/Training Program Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 2019-04-08
1679035588 Emily Nguyen Registered Nurse 8210 Elston Place, San Diego, CA 92126 2019-04-01
1558832139 Dana Douglas-hiley Speech-Language Pathologist 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 2018-12-08
1275022873 Breeann Nicole Poulson Speech-Language Pathologist 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 2018-05-09
1659878882 My Phuong Thi Phan Registered Nurse 10938 Hyades Way, San Diego, CA 92126 2018-04-13
1083132153 Ruth Tamar Morales Occupational Therapist Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 2017-09-08
1487184339 Chelsea Irene Johnson Marriage & Family Therapist 8670 New Salem St. Unit 106, San Diego, CA 92126 2017-06-14
1336508506 Brenda L. Bebal Nurse Practitioner 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 2016-02-17
1700245099 Naval Medical Center San Diego Pharmacy Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 2016-02-16
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366058505 Amanda Lauren Ramos Liberto Mcnamara Specialist/Technologist 7525 Metropolitan Drive, 308, San Diego, CA 92108-4412 2020-09-22
1316474018 Shaina Mccollum Specialist/Technologist 2849 A St, Unit 3, San Diego, CA 92102-1775 2017-05-12
1922474568 Christopher James Upton Specialist/Technologist 5151 Murphy Canyon Rd, Suite 150, San Diego Clinic, San Diego, CA 92123 2015-08-18
1699150656 Laura Grace Spracher Specialist/Technologist 7850 Mission Center Ct Ste 100, San Diego, CA 92108-1323 2015-07-20
1891181087 Angela Diaz Specialist/Technologist 9604 Caminito Tizona, San Diego, CA 92126-4103 2015-04-14
1578162244 Jessica Cobb Specialist/Technologist 4204a Adams Ave, San Diego, CA 92116-2300 2020-10-22
1851920128 Dolores Oviedo Specialist/Technologist 5151 Murphy Canyon Rd Ste 150, San Diego, CA 92123-4480 2020-04-07
1588123061 Erin Murtagh Specialist/Technologist 5151 Murphy Canyon Rd Ste 150, San Diego, CA 92123-4480 2019-03-14
1659837359 Jennyd Verdin Specialist/Technologist 7090 Miratech Dr, San Diego, CA 92121-3109 2019-02-18
1730653296 Lelani Myburgh Specialist/Technologist 9466 Black Mountain Rd Ste 100, San Diego, CA 92126 2019-01-17
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Competitor

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City SAN DIEGO
Zip Code 92126

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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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