AMY SMITH (NPI# 1457655359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457655359 |
| Entity Type | Individual |
| Full Name | AMY SMITH |
| Other Name | AMY VANDEGRIFT |
| Credential | PA-C |
| Practice Address |
1648 Huntingdon Pike Meadowbrook PA 19046-8001 |
| Mailing Address |
Po Box 8500-4081 Philadelphia PA 19178-4081 |
| Practice Telephone | 2159382749 |
| Practice Fax Number | 2159383829 |
| Mailing Telephone | 2158561010 |
| Mailing Fax Number | 2158561141 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2016-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055636 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
C5-0000733 | DE | 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 |
1648 HUNTINGDON PIKE |
| City | MEADOWBROOK |
| State | PA |
| Zip Code | 19046-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549642 | William Hofmann | Internal Medicine | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2005-06-22 |
| 1992317614 | Nilam K Patel | Registered Nurse | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2020-08-24 |
| 1952914699 | David Mangano | Dietitian, Registered | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8099 | 2020-08-24 |
| 1538789995 | Kirsten Horton | Dietitian, Registered | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8099 | 2020-04-25 |
| 1700406055 | Michelle Lynn Moylan | Dietitian, Registered | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8099 | 2020-04-16 |
| 1710514872 | Hr Physician Services | Internal Medicine | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2020-03-26 |
| 1124654322 | Mallory Smith Peterson | Dietitian, Registered | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2020-03-19 |
| 1528612652 | Amber Renee Lonetti | Physical Therapy Assistant | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2019-07-26 |
| 1174187819 | Kristen Pritch | Specialist/Technologist, Other | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8099 | 2019-04-29 |
| 1235608803 | Hr Physician Services | Clinic/Center | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279061 | Yves Rose Josselin | In Home Supportive Care | 610 Old Yord Road, Suite 400, Jenkintown, PA 19046 | 2019-05-06 |
| 1942790498 | Elizabeth Collins Cook | Counselor | 501 Old York Rd Unit 4, Jenkintown, PA 19046 | 2018-05-10 |
| 1013407568 | Samuel Albert | Counselor | 501 York Rd Unit 4 Renew Family Services LLC, Jenkintown, PA 19046 | 2018-05-10 |
| 1275050841 | Khristina Tylo | Home Health Aide | 1653 The Fairway St, Jenkintown, PA 19046 | 2017-08-24 |
| 1073053898 | Jennifer Nicole Romania | Physician Assistant | 500 Old York Road, Suite 201, Jenkintown, PA 19046 | 2017-02-27 |
| 1790159648 | Crystina Kaylin Cave | Physician Assistant | Holy Redeemer Hospital, 1648 Huntingdon Pike, Huntingdon Valley, PA 19046 | 2015-11-16 |
| 1790112225 | Jerry H Herman | Obstetrics & Gynecology | 906 Frog Hollow Terrace, Rydal, PA 19046 | 2013-09-30 |
| 1861828774 | Christopher T Flood | Physical Therapist | 676 Old York Road, Jenkintown, PA 19046 | 2013-09-24 |
| 1013251420 | Ann K Lodovichetti | Physical Medicine & Rehabilitation | 1616 Hungtindon Pike, Meadowbrook, PA 19046 | 2012-11-26 |
| 1689941916 | Sandra H. Kosmin | Social Worker | 114 Forrest Avenue, Suite 2, Narberth, PA 19046 | 2011-12-01 |
| Find all providers in zip 19046 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417320920 | Ruby Pottukalam | Physician Assistant | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2015-11-05 |
| 1508232885 | Amanda Noelle Hestand | Physician Assistant | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | MEADOWBROOK |
| Zip Code | 19046 |
Please comment or provide details below to improve the information on AMY 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.