SHANNON SMITH (NPI# 1306395777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306395777 |
| Entity Type | Individual |
| Full Name | SHANNON SMITH |
| Credential | NP-C |
| Practice Address |
7003 Woodway Dr Waco TX 76712-6170 |
| Mailing Address |
Po Box 18962 Belfast ME 04915-4084 |
| Practice Telephone | 2547727300 |
| Mailing Telephone | 8005665050 |
| Mailing Fax Number | 2545376869 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131973 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1821603267 | Shannon Alexandria Smith | Dietitian, Registered | 20621 Ne 1st Ct, Miami, FL 33179-1702 | 2020-09-12 |
| 1790316040 | Shannon Machelle Smith | Nurse Practitioner | 7705 Happy Hollow Dr, Mint Hill, NC 28227-8518 | 2020-01-27 |
| 1750925392 | Shannon Joy Smith | Nurse Practitioner | 152 Pearson Rd, Greer, SC 29651-7146 | 2019-11-06 |
| 1104308014 | Shannon Lynn Smith | Massage Therapist | 15131 Northville Rd, Plymouth, MI 48170-2548 | 2018-09-06 |
| 1548747181 | Shannon Marie Smith | Psychologist | 146 2nd St N Ste 305, Saint Petersburg, FL 33701-3361 | 2018-07-26 |
| 1942726393 | Shannon Elizabeth Smith | Counselor | 3535 S Sherwood Forest Blvd Ste 227, Baton Rouge, LA 70816-2255 | 2017-08-17 |
| 1043749450 | Shannon Michelle Smith | Marriage & Family Therapist | 707 W 5th Ave Apt 1116, Spokane, WA 99204-2780 | 2017-06-08 |
| 1033640644 | Shannon Elizabeth Smith | Social Worker | 212 W Red Bridge Rd, Kansas City, MO 64114-5136 | 2017-03-24 |
| 1518311240 | Shannon Kathleen Smith | Licensed Practical Nurse | 9040 Jackson Avenue, Attn Mchk-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-04-19 |
| Street Address |
7003 WOODWAY DR |
| City | WACO |
| State | TX |
| Zip Code | 76712-6170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750362398 | Rodney Charles Richie | Internal Medicine | 7003 Woodway Dr, Suite 311, Waco, TX 76712-6170 | 2005-11-10 |
| 1295105252 | Valerie Davidson | Nurse Practitioner | 7003 Woodway Dr, Suite 311, Waco, TX 76712-6170 | 2015-10-03 |
| 1235509746 | Waco Heart and Surgery Center LLC | Clinic/Center | 7003 Woodway Dr, Suite 310, Waco, TX 76712-6170 | 2015-09-28 |
| 1306278585 | Cantex Home Health Waco LLC | Home Health | 7003 Woodway Dr, Suite 313, Waco, TX 76712-6170 | 2013-07-30 |
| 1407090939 | Shana Leigh Lisenbe | Occupational Therapist | 7003 Woodway Dr, Suite 313, Waco, TX 76712-6170 | 2009-04-28 |
| 1669612412 | Jeffrey Don Martin | Nurse Practitioner | 7003 Woodway Dr, Suite 311, Waco, TX 76712-6170 | 2009-03-05 |
| 1285888768 | Jenny Louetta Nelson | Physician Assistant | 7003 Woodway Dr, Suite 311, Waco, TX 76712-6170 | 2008-11-10 |
| 1295906303 | Select Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 7003 Woodway Dr, Ste 302, Waco, TX 76712-6170 | 2008-03-17 |
| 1639290927 | Karen Lynn Dierolf | Occupational Therapist | 7003 Woodway Dr, Suite 302, Waco, TX 76712-6170 | 2007-04-03 |
| 1598833345 | Bill H Berryhill Mdpa | Orthopaedic Surgery | 7003 Woodway Dr, Ste 310, Waco, TX 76712-6163 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209559 | Veronica House | Nurse Practitioner | 358 Flint Rd, Waco, KY 40385-9714 | 2020-09-10 |
| 1215409065 | Ashley Danielle Edmondson | Nurse Practitioner | 318 Richland West Cir Ste A, Waco, TX 76712-7919 | 2018-12-18 |
| 1417426529 | Shane Moore | Nurse Practitioner | 7030 New Sanger Ave Ste 204, Waco, TX 76712-4074 | 2018-11-19 |
| 1588148290 | Catherine Paige Pollard | Nurse Practitioner | 120 Hillcrest Medical Blvd Ste 101, Waco, TX 76712-8949 | 2018-09-18 |
| 1578075081 | Ligia Liana Tofanel | Nurse Practitioner | 333 Londonderry Dr Ste 200, Waco, TX 76712-7930 | 2017-10-25 |
| 1114454410 | Joyce Belinda Ivie | Nurse Practitioner | 611 W Hwy 6 Ste 108, Waco, TX 76710-7545 | 2017-05-17 |
| 1700233004 | Kameron Harrison | Nurse Practitioner | 601 W Hwy 6 Ste 101, Waco, TX 76710-5592 | 2016-05-17 |
| 1508293705 | Katie A Carranza | Nurse Practitioner | 1800 Gurley Street, Waco, TX 76706-4025 | 2013-10-02 |
| 1710329859 | Rachel Paige Harrington | Nurse Practitioner | 4601 N. 19th Street, Bldg H, Waco, TX 76708-1261 | 2013-07-17 |
| 1255770970 | Michele Davis Groetzinger | Nurse Practitioner | 201 Westlane Cir, Waco, TX 76712-3186 | 2013-06-15 |
| Find all providers in WACO | ||||
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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.