Individual provider Active NPI

Shenika Cherelle Smith

  • General Practice Registered Nurse
  • Richmond, VA
National Provider Identifier
1114418183
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
1234873 Issued in VA
Practice address
11 S 12TH St Ste 306
Richmond, VA 23219-4282
Phone
(804) 396-0706
Fax
(757) 210-3907
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO0002123 VA
General Practice Registered Nurse 163WG0000X 1234873 VA Primary

Addresses

Primary practice location

11 S 12TH St Ste 306
Richmond, VA 23219-4282

Mailing address

440 Monticello Ave Ste 1848
Norfolk, VA 23510-2571
Phone (757) 955-8421

Other practice location 1

900 Granby St Ste 231
Norfolk, VA 23510-2568
Phone (757) 776-7484

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

State licenses

LicenseStateTypeSpecialty
1234873VAMDGeneral Practice Registered Nurse
HCO0002123VAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
In Good Hands Home Healthcare LLC Home Health CurrentSince Mar 9, 2020 Accepting new patients

Locations

900 Granby St
Ste 231
Norfolk, VA 23510
Phone (757) 776-7484

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1114418183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE STE 1848",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102571",
            "telephone_number": "757-955-8421",
            "fax_number": "757-210-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S 12TH ST STE 306",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232194282",
            "telephone_number": "804-396-0706",
            "fax_number": "757-210-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Granby St Ste 231",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102568",
            "country_code": "US",
            "telephone_number": "757-776-7484",
            "fax_number": "757-210-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHENIKA",
        "middle_name": "CHERELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO0002123",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "1234873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.