Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740734565 Individual Practitioner Female Practitioner

Amanda Nicole Smith

Specialist • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Amanda Smith is a registered healthcare professional specializing in Specialist in Syracuse, NY. Practice services are available at 116 MARIAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

116 Marian Dr

Syracuse, NY 132192423

Telephone 3155698872

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
189 Specialists

Practicing in Syracuse, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 692607121

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License NY 692608121

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 116 MARIAN DR, SYRACUSE, NY 132192423 (Tel: 3155698872)

📍
Updated Business Mailing Address August 10, 2016

Registered at 116 MARIAN DR, SYRACUSE, NY 132192423

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as AMANDA SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Specialist (License #692607121 in NY)

🟢
Initial NPI Registration & Enumeration August 10, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740734565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2016
Last Update: August 10, 2016
Sole Proprietor: Yes

Mailing Address

116 Marian Dr

Syracuse, NY 132192423

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.