AMY SUE SMITH LPN
NPI 1083203897
Licensed Practical Nurse in Fort Wayne, IN

Active since January 15, 2021
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551(260) 471-6674 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Sue Smith Lpn NPPES

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

AMY SUE SMITH LPN (NPI 1083203897) is an individual licensed practical nurse in Fort Wayne, Indiana, licensed in Indiana (27046922A) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1083203897
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAMY SUE SMITHCredential: LPN
Location Address5050 N CLINTON STFort Wayne, IN 46825-5886
Mailing Address5050 N Clinton StFort Wayne, IN 46825-5886 · (260) 484-8551 · Fax (260) 471-6674
Fax(260) 471-6674
Sole ProprietorYes
Enumeration DateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
NPI 1083203897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in IN · 27046922A
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5050 N CLINTON ST, Fort Wayne, IN 46825

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.

Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physician Assistant
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physical Therapist
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FT WAYNE, IN 46825
Anesthesiology
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Practitioner
5050 N CLINTON ST
FORT WAYNE, IN 46825
Registered Nurse (Orthopedic)
5050 N CLINTON ST
FORT WAYNE, IN 46825

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 Amy Smith's NPI number?

The NPI number for Amy Smith is 1083203897. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Amy Smith located?

Amy Smith practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is Amy Smith's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amy Smith was last updated on January 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.