DR. SHANNON SMITH (NPI# 1922636810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922636810 |
| Entity Type | Individual |
| Full Name | DR. SHANNON SMITH |
| Credential | RD |
| Practice Address |
1955 W Frye Rd Chandler AZ 85224-6282 |
| Mailing Address |
1516 E Rovey Ave Apt 6 Phoenix AZ 85014-2441 |
| Practice Telephone | 4807283000 |
| Mailing Telephone | 2146069056 |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 921653 | IL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1930 E Thomas Rd, Phoenix, AZ 850167711 | 6025321000 |
| 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 |
1955 W FRYE RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-6282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578991 | Molly M Cerniglia | Physician Assistant | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2005-06-14 |
| 1659981009 | Gabriel Rallison | Pharmacist | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2020-07-31 |
| 1538786355 | Ashley Effler | Speech-Language Pathologist | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2020-06-26 |
| 1952946071 | Renee Lopez | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2019-11-13 |
| 1962058818 | Felecia Woods | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2019-08-16 |
| 1811543317 | Deborah Koval | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2019-08-12 |
| 1518524792 | Kelsey Kebric | Dietitian, Registered | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2019-05-23 |
| 1972075125 | Michael Gasbarro | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2018-12-28 |
| 1386115665 | Hassan Akinbiyi Md Pllc | Physical Medicine & Rehabilitation | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2018-12-11 |
| 1316422777 | Chris Tran First Assist LLC | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2018-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849023 | Emmie Mae Olivas | Dietitian, Registered | 1126 N Melody Cir, Chandler, AZ 85225-1695 | 2020-10-22 |
| 1790269868 | Kristen Thurmond | Dietitian, Registered | 2880 S Nolina Pl, Chandler, AZ 85286-8019 | 2018-09-24 |
| 1982196440 | Melissa Anderson | Dietitian, Registered | 2460 E Germann Rd Ste 18, Chandler, AZ 85286-1573 | 2018-05-31 |
| 1811403199 | Maliha Weintraub | Dietitian, Registered | 700 N Dobson Rd Unit 18, Chandler, AZ 85224-6973 | 2017-12-21 |
| 1346779055 | Jessie Gruner | Dietitian, Registered | 2922 E Tyson St, Chandler, AZ 85225-4246 | 2017-06-06 |
| 1356896799 | Angela Guest Vandenbark | Dietitian, Registered | 2013 Primrose Ln, Chandler, OK 74834-9518 | 2016-08-15 |
| 1396082772 | Srijana Neupane | Dietitian, Registered | 4213 S Buckskin Way, Chandler, AZ 85249-6002 | 2013-01-06 |
| 1871844399 | Jane Langenfeld Rd LLC | Dietitian, Registered | 5682 W Gary Dr, Chandler, AZ 85226-1263 | 2012-09-24 |
| 1760744262 | Jane Lenore Langenfeld | Dietitian, Registered | 5682 W. Gary Drive, Chandler, AZ 85226-1263 | 2012-06-11 |
| 1902183767 | Lynn Lanza | Dietitian, Registered | 5980 S Cooper Rd, Suite #1, Chandler, AZ 85249-5394 | 2011-11-08 |
| Find all providers in CHANDLER | ||||
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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.