MS. AMY ANN SMITH (NPI# 1174875223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174875223 |
| Entity Type | Individual |
| Full Name | MS. AMY ANN SMITH |
| Other Name | AMY ANN DAVIS |
| Credential | PA-C |
| Practice Address |
3131 N Water St Decatur IL 62526-2472 |
| Mailing Address |
2300 N Edward St Gsbll Decatur IL 62526-4163 |
| Practice Telephone | 2178765320 |
| Practice Fax Number | 2178765865 |
| Mailing Telephone | 2178762857 |
| Mailing Fax Number | 2178762874 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5214 | AZ | 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 |
3131 N WATER ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265418313 | Marcelyn Ann Sawyer | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2005-12-21 |
| 1922609437 | Alexandra L Huddleston | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2020-11-03 |
| 1649883992 | Shannon D Walle | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2020-08-26 |
| 1992316376 | Tatum J Reynolds | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2020-08-11 |
| 1073123055 | Christina M White | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2020-08-05 |
| 1659981629 | Emily A Davidsmeier | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2020-08-05 |
| 1316453616 | Lisa N Rizzo | Physician Assistant | 3131 N Water St, Decatur, IL 62526-2472 | 2017-12-21 |
| 1295265098 | Terri J St. Clair | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2017-06-14 |
| 1134667793 | Kevin Collins | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2017-02-03 |
| 1073976700 | Tonya Sue White | Nurse Practitioner | 3131 N Water St, Decatur, IL 62526-2472 | 2016-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1073904181 | Nathan Potter | Physician Assistant | 798 Larry Ln, Decatur, GA 30033-4817 | 2015-02-11 |
| 1932467479 | Shannon L Hill | Physician Assistant | 1074 Ashbury Dr, Decatur, GA 30030-4165 | 2012-05-02 |
| 1578754792 | John Cicero Crawford II | Physician Assistant | 3941 John Hopkins Ct, Decatur, GA 30034-5709 | 2007-08-05 |
| 1437299773 | Barbar A Young | Physician Assistant | 3290 Memorial Dr Ste B3, Decatur, GA 30032-3400 | 2007-02-07 |
| 1992842595 | Veronica G Dockery | Physician Assistant | 346 N. Main St, Decatur, AR 72722-0735 | 2007-01-31 |
| 1649344938 | Telicia Dequai Scott | Physician Assistant | 4153b Flat Shoals Pkwy Ste 200, Decatur, GA 30034-4189 | 2006-11-20 |
| 1699773234 | Joanne Gilby Beer | Physician Assistant | 3292 Mountain Dr Ste A, Decatur, GA 30032-1102 | 2005-07-08 |
| 1871063263 | Paige Birge | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2018-11-28 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on MS. AMY ANN 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.