Individual provider Active NPI

Shaunde Jermaine Smith, APRN

  • Family Nurse Practitioner
  • Silsbee, TX
National Provider Identifier
1124268529
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP117554 Issued in TX
Practice address
711 Highway 327 E
Silsbee, TX 77656-5005
Phone
(409) 658-8299
Fax
(855) 538-3243
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 656857 TX
Family Nurse Practitioner 363LF0000X 656857 TX
Adult Health Nurse Practitioner 363LA2200X AP117554 TX
Family Nurse Practitioner 363LF0000X AP117554 TX Primary

Addresses

Primary practice location

711 Highway 327 E
Silsbee, TX 77656-5005

Mailing address

711 Highway 327 E
Silsbee, TX 77656-5005
Phone (409) 658-8299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000253 TX Practitioner - Nurse Practitioner 2769427269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winnie Community Hospital LLCGroup PAC ID 3375440894, 23 clinicians

Practice addresses (Care Compare)

711 Hwy 327 E
Silsbee, TX 77656-5005
Phone 4092321500217

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
656857TXMDAdult Health Nurse Practitioner
AP117554TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality NP Services PLLC Family Current Accepting new patients
Deep East Texas Maternal & Family Health PA Adult Health CurrentSince Feb 23, 2016 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Jun 19, 2025 Accepting new patients
Winnie Community Hospital LLC Current Accepting new patients
Complete Healthcare Services RHC PLLC Past Accepting new patients
Winnie Community Hospital, LLC Past Accepting new patients

Locations

315 W Houston St
Jasper, TX 75951
Phone (409) 384-3430

711 Highway 327 E
Silsbee, TX 77656
Phone (409) 373-9160

1185 N 11th St
Silsbee, TX 77656
Phone (409) 385-0556

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1124268529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 HIGHWAY 327 E",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776565005",
            "telephone_number": "409-658-8299",
            "fax_number": "855-538-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HIGHWAY 327 E",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776565005",
            "telephone_number": "409-658-8299",
            "fax_number": "855-538-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAUNDE",
        "middle_name": "JERMAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "656857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "656857",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP117554",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silsbee, TX

Sources for this page

Verify at the official NPI Registry.