AMY PITTLICK SMITH (NPI# 1013907096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013907096 |
| Entity Type | Individual |
| Full Name | AMY PITTLICK SMITH |
| Other Name | AMY DIANA PITTLICK |
| Credential | NP |
| Practice Address |
2170 South Ave South Lake Tahoe CA 96150-7026 |
| Mailing Address |
1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 |
| Practice Telephone | 5305396620 |
| Practice Fax Number | 5305396617 |
| Mailing Telephone | 5305435659 |
| Mailing Fax Number | 5305418723 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN001842 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
13943 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171185 | Amy Christine Smith | Clinical Nurse Specialist | 5901 Bowen Daniel Dr Unit 107, Tampa, FL 33616-1454 | 2020-10-16 |
| 1083211080 | Amy Elizabeth Smith | Registered Nurse | 783 Augusta Dr, Moraga, CA 94556-1007 | 2020-10-03 |
| 1316569551 | Amy Smith | Speech-Language Pathologist | 8313 E Alsea Hwy, Tidewater, OR 97390-9712 | 2020-05-11 |
| 1740801232 | Amy Smith | Nutritionist | 851 French Moore Jr Blvd Ste 135, Abingdon, VA 24210-4706 | 2020-05-06 |
| 1497393243 | Amy Dawn Smith | Peer Specialist | 1713 Clarke St, Ponca City, OK 74601-2912 | 2019-12-11 |
| 1326600438 | Amy Smith | Counselor | 1319 Hazelwood Dr, Allen, TX 75002-0800 | 2019-06-28 |
| 1124589171 | Amy Smith | Occupational Therapist | 3 Wootton Rd, Essex Fells, NJ 07021-1116 | 2019-03-30 |
| 1548736937 | Amy Marie Smith | Acupuncturist | 1121 W Prospect Rd Ste B, Fort Collins, CO 80526-5623 | 2018-10-23 |
| 1871074088 | Amy Elizabeth Smith | Speech-Language Pathologist | 11266 Taylor Draper Ln Apt 2613, Austin, TX 78759-3973 | 2018-08-25 |
| 1851884472 | Amy Smith | Counselor | 16979 W. 94th Street, Lenexa, KS 66219 | 2018-06-08 |
| Street Address |
2170 SOUTH AVE |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-7026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690485 | Marissa Rose Muscat | Family Medicine | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2005-06-28 |
| 1487201091 | Holly Anne Burnam | Registered Nurse | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2019-08-20 |
| 1447725916 | Leeann Mills | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-10-10 |
| 1639653322 | Jessica Tina Cone | Occupational Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2018-09-19 |
| 1972093391 | Jordan Corinne Myers | Technician | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2018-05-10 |
| 1780185892 | Harrison Thomas Calhoun Brown | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-02-23 |
| 1578064788 | Morgan Humble | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-02-22 |
| 1326576893 | Heather Applegate | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2017-05-30 |
| 1306372214 | Julie Fernandez | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2017-05-11 |
| 1316480981 | Jordan Lewis Bugarske | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2016-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920559 | Young Soon Keum | Nurse Practitioner | 1108 4th St, South Lake Tahoe, CA 96150-3476 | 2019-12-27 |
| 1477022358 | Drew N Herbert | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2018-11-20 |
| 1861937989 | Andrea Clark | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-12-28 |
| 1497202121 | Andrea Marie Baldwin | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-09-11 |
| 1699187849 | Tessa Dahlen Amos | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2014-05-22 |
| 1558600122 | Elke Anne Houser | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2013-02-02 |
| 1124238548 | Patience Wenck | Nurse Practitioner | 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150-6288 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
Please comment or provide details below to improve the information on AMY PITTLICK 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.