SHANE WILLIAM SMITH (NPI# 1356790513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356790513 |
| Entity Type | Individual |
| Full Name | SHANE WILLIAM SMITH |
| Credential | R.N. |
| Practice Address |
600 Wayne Ave Dayton OH 45410-1122 |
| Practice Telephone | 9374962000 |
| Practice Fax Number | 9374632905 |
| Mailing Telephone | 9374962000 |
| Mailing Fax Number | 9374632905 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN.403575 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO BOARD OF NURSING | RN.403575 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| 1609306158 | Shane Eric Smith | Chiropractor | 1300 E 66th St Ste 100, Richfield, MN 55423-2685 | 2017-06-18 |
| 1396199733 | Shane Todd Smith | Registered Nurse | 725 Rothrock Dr, Galloway, OH 43119-8692 | 2016-04-22 |
| 1679815484 | Shane Timothy Smith | Counselor | 4629 Celia Way, Apt 202, Bellingham, WA 98226-7475 | 2013-03-19 |
| 1972726719 | Shane Smith | Chiropractor | 1380 Long Fellow Ave, Chico, CA 95926 | 2007-04-10 |
| 1821177197 | Shane Smith | Chiropractor | 2301 Berlin Tpke, Newington, CT 06111-3206 | 2006-11-06 |
| 1184705980 | Shane Michael Smith | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2006-10-18 |
| 1003465675 | Shane R Smith | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-09-06 |
| 1255859567 | Shane Mcbride Smith | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-09-07 |
| 1124578836 | Shane Smith | Chiropractor | 12313 Gold St, Omaha, NE 68144-2760 | 2016-10-05 |
| Street Address |
600 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45410-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811920556 | Eastway Corporation | Clinic/Center | 600 Wayne Ave, Dayton, OH 45410-1122 | 2006-07-08 |
| 1669072310 | Deonate Gary | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-30 |
| 1023618972 | Shakora Flowers | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1396345153 | Heather Elaine Miller | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1174123475 | Bettie Parks | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-27 |
| 1952900847 | Christina M Smith | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-21 |
| 1912505520 | Kelly E Blevins | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-15 |
| 1366049090 | Dana Bobalik | Social Worker | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-06 |
| 1780281576 | Heather Miller | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-05 |
| 1073110292 | Kristy Rothgeb | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
| 1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
| 1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
| 1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
| 1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
| 1295186898 | Stephanie Louise Weigel | Nurse Practitioner | 600 Wayne Avenue, Dayton, OH 45410 | 2016-06-24 |
| 1326499021 | Courtney Renee Downing | Registered Nurse | 600 Wayne Ave., Dayton, OH 45410-1122 | 2016-06-24 |
| 1982791729 | Robert Orgain Hardy | Psychiatry & Neurology | 600 Wayne Av, Eastway Behavioral Healthcare, Dayton, OH 45410-1122 | 2006-10-05 |
| 1619223401 | Joshua Matthew Estepp | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| 1164778957 | Myekale S Novy | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| Find all providers in zip 45410 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282145 | Venita Elise Berry | Registered Nurse | 2734 Oxford Ave, Dayton, OH 45406-4336 | 2020-10-16 |
| 1215556006 | Shantae M Williams | Registered Nurse | 2890 E Dorothy Ln, Dayton, OH 45420-3814 | 2020-04-11 |
| 1528608999 | Rebecca Crider | Registered Nurse | 707 Miamisburg Centerville Rd # 408, Dayton, OH 45459-6522 | 2020-01-13 |
| 1235789264 | Michael Anthony Boddie Sr. | Registered Nurse | 4539 Dayton Liberty Rd, Dayton, OH 45417-5905 | 2019-09-11 |
| 1518515469 | Daray Cochran | Registered Nurse | 924 Erbe Ave, Dayton, OH 45417-4101 | 2019-09-03 |
| 1184286205 | Patrika Sanders-roseman | Registered Nurse | 5879 Taylorsville Rd, Dayton, OH 45424-2671 | 2019-06-28 |
| 1235794074 | Stephanie Nicole Taylor | Registered Nurse | 658 Rustic Oak Dr, Dayton, OH 45415-1358 | 2019-05-07 |
| 1518426402 | Lila Petett Talbott | Registered Nurse | 1825 Ruskin Rd, Dayton, OH 45406-4019 | 2019-03-19 |
| 1467925586 | Oneika Stevens | Registered Nurse | 5422 Abby Loop Way, Dayton, OH 45414-3818 | 2019-01-11 |
| 1013480854 | Kesta Tifft | Registered Nurse | 1625 Delco Park Dr, Dayton, OH 45420-1391 | 2019-01-04 |
| Find all providers in DAYTON | ||||
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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.