| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMY L SMITH | 1659396612 | 2024-11-08 |
Amy L Smith [F] graduated in 1997 and primarily specializes in Certified Nurse Midwife (cnm).
Amy L Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659396612. Registration indicates Amy L Smith is a provider of access to ob/gyn services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Advanced Practice Midwife (Physician Assistants & Advanced Practice Nursing Providers, Advanced Practice Midwife) (Advanced Practice Midwife, ) (All Other Specialties & Provider Types, ) (Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers) Access to OB/GYN (Other Service Providers, Midwife) (Other Service Providers, Midwife) (Midwife, ) (All Other Specialties & Provider Types, ) (Midwife, Other Service Providers) Access to OB/GYN (Physician Assistants & Advanced Practice Nursing Providers, Advanced Practice Midwife) (Physician Assistants & Advanced Practice Nursing Providers, Advanced Practice Midwife) (Advanced Practice Midwife, ) (All Other Specialties & Provider Types, ) (Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers) Access to OB/GYN (Physician Assistants & Advanced Practice Nursing Providers, Advanced Practice Midwife) (Physician Assistants & Advanced Practice Nursing Providers, Advanced Practice Midwife) (Advanced Practice Midwife, ) (All Other Specialties & Provider Types, ) (Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 2860549805 |
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Amy L Smith MSN, CNM |
| Practice Office Address | 1220 E ELM ST STE 101 LIMA, OH US |
| Practice Office Telephone | 4192288245 |
| Practice Office Fax | 4199988247 |
| Mailing Address | 1 SEAGATE # 800 TOLEDO, OH 436041558 US |
| Business Telephone | 4192914000 |
| Business Fax | 4198247359 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2150 W Central Ave | Toledo, OH 436063834 | 4192912192 |
| Code | Practice | License No State |
|---|---|---|
| 367A00000X | Access to OB/GYN Physician Assistants & Advanced Practice Nursing Providers Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers Advanced Practice Midwife Advanced Practice Midwife All Other Specialties & Provider Types Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers | |
| 176B00000X | Access to OB/GYN Other Service Providers Midwife Other Service Providers Midwife Midwife All Other Specialties & Provider Types Midwife Other Service Providers | |
| 367A00000X | Access to OB/GYN Physician Assistants & Advanced Practice Nursing Providers Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers Advanced Practice Midwife Advanced Practice Midwife All Other Specialties & Provider Types Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers | APRN.CNM.03884
OH |
| 367A00000X PRIMARY | Access to OB/GYN Physician Assistants & Advanced Practice Nursing Providers Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers Advanced Practice Midwife Advanced Practice Midwife All Other Specialties & Provider Types Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers | ARNP9258147
FL |
| 017698300 | MEDICAID | FL | |
| 1659396612 | MEDICAID | MI | |
| 2050873 | MEDICAID | OH | |
| 7WFC3 | OTHER | FL | FLORIDA BLUE |
| 1296454 | OTHER | FL | STAYWELL MEDICA |