AMANDA MOORE SMITH (NPI# 1033496286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033496286 |
| Entity Type | Individual |
| Full Name | AMANDA MOORE SMITH |
| Credential | NP-C |
| Practice Address |
4451 Bayou Blvd Pensacola FL 32503-2601 |
| Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
| Practice Telephone | 8504167619 |
| Practice Fax Number | 8504167753 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9330680 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
4451 BAYOU BLVD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099839 | Martha H Sanford | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2005-08-02 |
| 1770121535 | Brian Wade Pullam | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-12-11 |
| 1356903215 | Noelle J Emmons | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-07-01 |
| 1750940268 | Lauren Mary Myers | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-06-08 |
| 1588222814 | Itumeleng M Ncube | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-06-01 |
| 1861980724 | Clorinda M Baker | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2018-04-26 |
| 1649786179 | Ashley Renee Norwood | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2017-12-20 |
| 1164931242 | Abigail Kathryn Fleischman | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2017-09-21 |
| 1215383542 | Michael Trent Norman | Hospitalist | 4451 Bayou Blvd, Pensacola, FL 32503 | 2016-05-05 |
| 1689083354 | Joseph B. Smith Jr. | Speech-Language Pathologist | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521725 | Shanna Sowell | Nurse Practitioner | 3510 Dunfries Rd, Pensacola, FL 32503-4237 | 2020-06-08 |
| 1992000566 | Betty Carolyn Brannon | Nurse Practitioner | 10075 Hillview Rd, Pensacola, FL 32514-5469 | 2011-01-12 |
| 1184670424 | Elizabeth Ann Ford | Nurse Practitioner | 4020 Alvar Dr, Pensacola, FL 32504-4405 | 2006-05-26 |
| 1104815455 | Vicki Pauline Merold | Nurse Practitioner | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514 | 2005-10-19 |
| 1730747874 | Jodilyn Grace Holz | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-06-04 |
| 1528528981 | Kasey Mcdowell Bowers | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-03-21 |
| 1750855615 | Hodge & Company LLC | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-01-14 |
| 1659843951 | Ashleigh Skipper | Nurse Practitioner | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2018-12-26 |
| 1275077307 | Laura Alise Mears | Nurse Practitioner | 1549 Airport Blvd, 440, Pensacola, FL 32504-2266 | 2016-12-08 |
| 1679015457 | Denise Helen Suri | Nurse Practitioner | 1100 Airport Blvd, Blvd. B, Pensacola, FL 32504-8631 | 2016-11-10 |
| Find all providers in PENSACOLA | ||||
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| 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.