Individual provider Active NPI

Sharon K Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1093564114
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61631013 Issued in WA
Practice address
920 W Ironwood Dr Ste 200
Coeur D Alene, ID 83814-2643
Phone
(208) 667-2600
Fax
(208) 625-2051
NPI assigned
May 13, 2024
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61631013 WA Primary
Registered Nurse 163W00000X RN60443226 WA
Registered Nurse 163W00000X 62087 ID
Registered Nurse 163W00000X 736843 TX

Addresses

Primary practice location

920 W Ironwood Dr Ste 200
Coeur D Alene, ID 83814-2643

Mailing address

920 W Ironwood Dr Ste 200
Coeur D Alene, ID 83814-2643
Phone (208) 667-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250603001013 ID Practitioner - Nurse Practitioner 1456860386 Reassigns benefits to 1 organization
I20251212000006 WA Practitioner - Nurse Practitioner 1456860386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians
Coeur D Alene Primary Care PLLCGroup PAC ID 8729216171, 9 clinicians

Practice addresses (Care Compare)

509 Olive Way
Suite 1259 12TH Floor
Seattle, WA 98101-1745
Phone 8328694818235

920 W Ironwood Dr
Suite 200
Coeur D Alene, ID 83814-2643
Phone (208) 667-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
62087IDMDRegistered Nurse
736843TXMDRegistered Nurse
RN60443226WAMDRegistered Nurse
AP61631013WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Dec 3, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Dec 3, 2025 Accepting new patients
Coeur D Alene Primary Care PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

920 W Ironwood Dr
Ste 200
Coeur D Alene, ID 83814
Phone (208) 667-2600

100 McKinley Ave
Kellogg, ID 83837
Phone (208) 586-5588

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

509 Olive Way
Ste 1259
Seattle, WA 98101
Phone (206) 624-5355

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1093564114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W IRONWOOD DR STE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142643",
            "telephone_number": "208-667-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W IRONWOOD DR STE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142643",
            "telephone_number": "208-667-2600",
            "fax_number": "208-625-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHARON",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61631013",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60443226",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "62087",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "736843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.