Active NPI
Shandrika Keoione Smith, CMA
- Other Technician
- Kenner, LA
National Provider Identifier
1023861937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 842087
- Practice address
- 2002 20TH St Ste B202
Kenner, LA 70062-4403 - Phone
- (985) 618-0543
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 842087 | LA | Primary |
Addresses
Primary practice location
2002 20TH St Ste B202
Kenner, LA 70062-4403
Mailing address
271 Saint Andrews Blvd
La Place, LA 70068-1603
Phone (985) 618-0543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 842087 | LA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1023861937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 SAINT ANDREWS BLVD",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700681603",
"telephone_number": "985-618-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 20TH ST STE B202",
"city": "KENNER",
"state": "LA",
"postal_code": "700624403",
"telephone_number": "985-618-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHANDRIKA",
"middle_name": "KEOIONE",
"credential": "CMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "LA",
"license": "842087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.