SHANIECE SMITH (NPI# 1558832956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558832956 |
| Entity Type | Individual |
| Full Name | SHANIECE SMITH |
| Credential | NP |
| Practice Address |
500 W Cummings Park Ste 2950 Woburn MA 01801-6536 |
| Mailing Address |
9436 Shenandoah Dr Indianapolis IN 46229-2062 |
| Practice Telephone | 7813766938 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F09181038 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 W CUMMINGS PARK STE 2950 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261937 | Lauren Ashley Griff | Nurse Practitioner | 16 Marlboro Rd, Woburn, MA 01801-3409 | 2020-10-07 |
| 1245848100 | Katrina Alicia Gomez | Nurse Practitioner | 269 Cambridge Rd Apt 303, Woburn, MA 01801-6066 | 2020-07-16 |
| 1104387570 | Cassia Tibbles | Nurse Practitioner | 7 Cerqua St, Woburn, MA 01801-5302 | 2019-03-28 |
| 1255571501 | Catherine Jordan | Nurse Practitioner | 600 W Cummings Park Ste 5000, Woburn, MA 01801-6397 | 2009-02-26 |
| 1487611554 | Michelle Mcgeachie | Nurse Practitioner | 600 W Cummings Park, Suite 1900 C/o Leo M Cass M.d., Woburn, MA 01801-6369 | 2006-05-01 |
| 1215991922 | Margaret E Breymann | Nurse Practitioner | 18 Commerce Way, Suite 2000, Woburn, MA 01801-1051 | 2006-04-12 |
| 1699373076 | Mary Lam | Nurse Practitioner | 18 Frances St, Woburn, MA 01801-3006 | 2020-10-16 |
| 1912464512 | Kiera Anne Garvey | Nurse Practitioner | 800 W Cummings Park Ste 4050, Woburn, MA 01801-6372 | 2019-03-01 |
| 1598276479 | Emily Frances Slowik | Nurse Practitioner | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2017-10-18 |
| 1962879924 | John Donovan Jr. | Nurse Practitioner | 151 Pleasant St, Woburn, MA 01801-4154 | 2015-08-26 |
| Find all providers in WOBURN | ||||
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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.