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MRS. AMANDA BETH SMITH MA CCC SLP
NPI 1053794008
Speech-Language Pathologist in Providence, RI

Active since July 08, 2015
1000 EDDY ST, PROVIDENCE, RI 02905(401) 533-9100(401) 533-9105 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Jun 16, 2018, Apr 13, 2018 (3 updates tracked since 2018).

About Mrs. Amanda Beth Smith Ma Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA BETH SMITH MA CCC SLP (NPI 1053794008) is an individual speech-language pathologist provider in Providence, Rhode Island, licensed in Maryland (11840) and active in the NPI registry since July 2015. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1053794008
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. AMANDA BETH SMITHCredential: MA CCC SLP
Location Address1000 EDDY STProvidence, RI 02905-4739
Mailing Address36 Aimee DrPawcatuck, CT 06379 · (860) 501-1754 · Fax (401) 533-9105
Phone(401) 533-9100
Fax(401) 533-9105
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 8, 2015
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1053794008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in MD · 11840✔ Licensed in RI · SP01338✔ Licensed in CT · SP01338✔ Licensed in CT · 18.008364
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1000 EDDY ST, Providence, RI 02905
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Other Names 1

Former Name (1)Ms. Amanda Beth Calobrisi Ma Ccc Slp

Other Identifiers 3

Other0614RI · Neighborhood Health Of Ri
OtherSB870RI · Blue Cross Of Ri
MedicaidES01788RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda Beth Smith Ma Ccc Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204391600
PECOS Enrollment IDI20260716002264

Medicare Billing Reassignment

Medicare enrollment records show Amanda Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Expressable Therapy PC
1,661 mi
Speech-Language Pathologist
7600 CHEVY CHASE DR, BLDG 2 SUITE 300
Austin, TX 78752
  • Reassigned Medicare billing, Connecticut and Maryland enrollments
  • 16 clinicians in this Medicare group
NPI 1134875370 (512) 377-6318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA M KUGLER MSCCC-SLP
Speech-Language Pathologist
1000 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 533-9100
ALINA KAPUSTIN
Case Manager/Care Coordinator
1000 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 533-9100
CONNIE R RINEHART MSCCC-SLP
Speech-Language Pathologist
1000 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 533-9100
STEPHANIE M O'DONNELL RD, LDN
Dietitian, Registered
1000 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 533-9100
AMY AUTUMN STRENKE
Registered Nurse
1000 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 533-9100
LUCY W FREEMAN RN
Registered Nurse
1000 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 533-9100
NATASHA PEREZ
Case Manager/Care Coordinator
1000 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 533-9100
CAITLIN KELLY
Occupational Therapist
1000 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 533-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Smith's NPI number?

The NPI number for Amanda Smith is 1053794008. It was assigned to this individual provider in the NPPES registry on July 8, 2015. The provider is also known as Ms. Amanda Beth Calobrisi Ma Ccc Slp.

Where is Amanda Smith located?

Amanda Smith practices at 1000 Eddy St, Providence, RI 02905. The listed phone number is (401) 533-9100.

What is Amanda Smith's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Amanda Smith enrolled in Medicare?

Yes. Amanda Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Smith reassigns Medicare benefits to Expressable Therapy PC (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Smith was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.