Shawana D Smith, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

16892 Issued in FL

Practice address

2496 West 28TH St
Jacksonville, FL 32209-3220

Phone

(904) 861-7434

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1104395607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 W 28TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322093553",
            "telephone_number": "904-861-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 WEST 28TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322093220",
            "telephone_number": "904-861-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWANA",
        "middle_name": "D",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "16892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebrina Smith, ARNP
• Shaniya Smith, BS
• Shannon Lee Smith
• Shari Smith, RD
• Sharrae Denise Smith, MA
• Shikilra Smith, M.ED,,CCC-SLP
• Sidney Smith
• Stacey Smith
• Stephanie J Smith, M.A.
• Stephen Scott Smith, DC

• Occupational Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.