Amy Grace Smith (NPI# 1528661105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1528661105 |
| Entity Type | Individual |
| Full Name | Amy Grace Smith |
| Credential | LMT |
| Gender | Female |
| Practice Address |
3826 Se 51st Ave Portland OR 97206-3063 |
| Practice Telephone | 2076918367 |
| Mailing Address |
3826 Se 51st Ave Portland OR 97206-3063 |
| Mailing Telephone | 2076918367 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 25763 | OR |
| 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 |
| Find all providers with the same name | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487257960 | Felicia Royce | Massage Therapist | 3314 S Kelly Ave, Portland, OR 97239-4628 | 2020-11-18 |
| 1619579653 | Brent A Luebbert | Massage Therapist | 3724 N Massachusetts Ave Unit B, Portland, OR 97227-1030 | 2020-11-13 |
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
| Street Address |
3826 SE 51ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
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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.