Active NPI
Shauntia Smith
- Durable Medical Equipment & Medical Supplies
- Hyattsville, MD
National Provider Identifier
1043020092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 3704 E West Hwy Ste 121
Hyattsville, MD 20782-2355 - Phone
- (301) 996-9234
- NPI assigned
- Jan 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3704 E West Hwy Ste 121
Hyattsville, MD 20782-2355
Mailing address
1819 Minnesota Ave SE
Washington, DC 20020-5419
Phone (301) 996-9234
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736553600000",
"number": "1043020092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 MINNESOTA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205419",
"telephone_number": "301-996-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 E WEST HWY STE 121",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207822355",
"telephone_number": "301-996-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHAUNTIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-11",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.