MRS. SHANNON KATHLEEN SMITH (NPI# 1518311240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518311240 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON KATHLEEN SMITH |
| Credential | LPN |
| Practice Address |
9040 Jackson Avenue, Attn Mchk-clq-c Madigan Army Medical Center Tacoma WA 98431-1000 |
| Practice Telephone | 2539679818 |
| Practice Fax Number | 2539673639 |
| Mailing Telephone | 2539679818 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP00046917 | WA | Nursing Service 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 |
| 1427442847 | Shannon M Smith | Nurse Practitioner | 975 Sw 50th Way, Margate, FL 33068-3363 | 2015-03-24 |
| Street Address |
9040 JACKSON AVENUE, ATTN MCHK-CLQ-C MADIGAN ARMY MEDICAL CENTER |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual 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. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1922629427 | Helen Kigonya Babirye I | Licensed Practical Nurse | 9625 Croft St S, Tacoma, WA 98444-6533 | 2020-05-06 |
| 1346880267 | Lasana Lanell Bridges | Licensed Practical Nurse | 12720 C St S Apt E, Tacoma, WA 98444-1901 | 2020-01-08 |
| 1861051385 | Ashley Danielle Veal | Licensed Practical Nurse | 5001 S 56th St Ste J-o, Tacoma, WA 98409-1343 | 2019-06-08 |
| 1710545801 | Audrey Warman | Licensed Practical Nurse | 5313 110th St Sw, Tacoma, WA 98499-3529 | 2019-06-03 |
| 1528528247 | Kerrich Nicholson | Licensed Practical Nurse | 836 S Rochester St, Tacoma, WA 98465-1836 | 2019-03-20 |
| 1275097701 | Demetria House | Licensed Practical Nurse | 3727 S Tacoma Way, Tacoma, WA 98409-3134 | 2019-01-29 |
| 1609340660 | Carolyne Nderitu | Licensed Practical Nurse | 10202 Pacific Ave S Ste 210, Tacoma, WA 98444-6573 | 2019-01-13 |
| 1942770813 | Lance Edward Phillips | Licensed Practical Nurse | 3629 S D St # 1119211, Tacoma, WA 98418-6813 | 2018-12-04 |
| 1003301813 | Melissa Nichole Nash | Licensed Practical Nurse | Madigan Army Medical Center 9040 Jackson Ave Attn: Mch, Tacoma, WA 98431-0001 | 2018-06-25 |
| 1922506641 | Paul Hamrick | Licensed Practical Nurse | Madigan Army Medical Center Taco 9140 Jackson Ave Attn:, Tacoma, WA 98431-0001 | 2018-01-28 |
| Find all providers in TACOMA | ||||
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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.