SHANNON SMITH


Address: 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610
Phone: 5083342537

SHANNON SMITH (NPI# 1669866430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669866430
Entity Type Individual
Full Name SHANNON SMITH
Practice Address 26 Queen St, Ground Floor
Ambulatory Psychiatry Service, Ummmc
Worcester
MA 01610
Practice Telephone 5083342537
Mailing Telephone 5083342537
Enumeration Date 2015-03-19
Last Update Date 2015-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers SHANNON SMITH

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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

Office Location

Street Address 26 QUEEN ST, GROUND FLOOR
AMBULATORY PSYCHIATRY SERVICE, UMMMC
City WORCESTER
State MA
Zip Code 01610

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881189355 Amber Hall Counselor 26 Queen St, 6th Floor, Worcester, MA 01610 2018-06-27
1417401951 Kelsey Moran Counselor 1 College Street, Box D, Worcester, MA 01610 2016-08-13
1245685809 Walter Trisdale Specialist/Technologist One College St., College of The Holy Cross, Worcester, MA 01610 2016-05-02
1063815348 Terri Boettcher Social Worker 72 Jacques Street, Worcester, MA 01610 2014-10-01
1700222866 Kalynn Lucashensky Occupational Therapist 105 Woodland St. Apt. A, Worcester, MA 01610 2013-05-16
1093053993 Chrissy Marie Ryan Registered Nurse 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 2013-01-28
1851681324 Renaissance Adult Day Care, LLC Clinic/Center 1040 Southbridge Street, Worcester, MA 01610 2011-04-18
1912203217 Goddard/homestead Custodial Care Facility 10 Homestead Avenue, Worcester, MA 01610 2011-02-03
1912173196 Rahman Ullah Dentist Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 2008-05-07
1508042144 Kathleen Tamilo-awed Acupuncturist Acupuncture Associates of Worcester, 465 Park Avenue, Worcester, MA 01610 2008-01-14
Find all providers in zip 01610

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326661927 Ekaterina V Pimental Student in an Organized Health Care Education/Training Program 72 Salisbury St Apt 5, Worcester, MA 01609-3134 2020-05-19
1841810900 Charles Purcell Student in an Organized Health Care Education/Training Program 80 Carter Rd, Worcester, MA 01609-1038 2020-04-19
1942839832 Nicole Elizabeth Lewandrowski Student in an Organized Health Care Education/Training Program Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 2020-04-03
1982232336 Min Zhang Student in an Organized Health Care Education/Training Program 1 Innovation Dr. Biotech 3, Worcester, MA 01605-4306 2020-03-31
1336777952 Zhenwei Zhang Student in an Organized Health Care Education/Training Program 1 Innovation Dr Ste 2, Worcester, MA 01605-4306 2020-03-30
1932736634 Gregory Stephen Kazarian Student in an Organized Health Care Education/Training Program 2 Marissa Cir, Worcester, MA 01604-2674 2020-03-24
1376178590 Seungju Oh Student in an Organized Health Care Education/Training Program 55 Lake Ave N # S4-740, Worcester, MA 01655-0002 2020-03-09
1962032946 Samuel James Casey Student in an Organized Health Care Education/Training Program 4 Normal St Apt 2, Worcester, MA 01605-3496 2020-01-18
1265072169 Klajdi Kosovrasti Student in an Organized Health Care Education/Training Program 46 Fox Meadow Dr, Worcester, MA 01602-2242 2020-01-09
1669012449 Jacob Moninghoff Student in an Organized Health Care Education/Training Program 16 Norton St Apt 1, Worcester, MA 01605-3780 2020-01-09
Find all providers in WORCESTER

Competitor

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City WORCESTER
Zip Code 01610

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Dataset Information

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.

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