Active NPI
Shenika Cherelle Smith
- General Practice Registered Nurse
- Richmond, VA
National Provider Identifier
1114418183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 1234873
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1234873 | VA | MD | General Practice Registered Nurse |
| HCO0002123 | VA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Good Hands Home Healthcare LLC | Home Health | Current | 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.
-
- Home Health Agency
- Norfolk, VA
- NPI 1871089649
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.