Shanequa R Smith, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9349602 Issued in FL

Practice address

6971 W Sunrise Blvd Ste 102
Plantation, FL 33313-4407

Phone

(954) 791-0711

Fax

(954) 791-4392

NPI assigned

Mar 13, 2019

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1194284778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 NW 96TH TER APT 203",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211360",
            "telephone_number": "786-879-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 W SUNRISE BLVD STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134407",
            "telephone_number": "954-791-0711",
            "fax_number": "954-791-4392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9720 W Sample Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654004",
            "country_code": "US",
            "telephone_number": "954-752-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANEQUA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9349602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Maria Smith, APRN
• Marie Darisme Smith
• Michel M Smith, ARNP
• Patrick Smith
• Rachel Dawn Smith, CCC-SLP
• Scott Dana Smoller, M.D.
• SMR Mental Health Counseling LLC
• SNH PLFL Tenant LLC
• Soaring Eagles Home Care LLC
• Steven Thomas Sochacki, DO

• Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.