Active NPI
Shannon Leigh Smith-Stephens, DNP, APRN
- Nurse Practitioner
- Olive Hill, KY
National Provider Identifier
1215968003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3003796
- Practice address
- 6902B Grahn Rd
Olive Hill, KY 41164-8147 - Phone
- (606) 922-0121
- Fax
- (606) 548-5019
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3003796 | KY | |
| Nurse Practitioner | 363L00000X | 3003796 | KY | Primary |
Addresses
Primary practice location
6902B Grahn Rd
Olive Hill, KY 41164-8147
Mailing address
6902B Grahn Rd
Olive Hill, KY 41164-8147
Phone (606) 922-0121
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000609845 | Other | KY | ANTHEM BCBS |
| 78010220 | Medicaid | KY | |
| 2826311 | Medicaid | OH | |
| 000000298213 | Other | KY | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Kentucky College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6902 B Grahn Rd
Olive Hill, KY 41164-8147
Phone (606) 286-0440
Hospital & facility affiliations
- St Claire Regional Medical Center
- King'S Daughters' Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003796 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon L. Smith-Stephens, DNP, Aprn-BC, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Musculoskeletal Associates PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
506 Executive Park
Louisville, KY 40207
Phone (502) 213-3807
Interoperability endpoints
- https://api.platform.athenahealth.com/19906/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Olive Hill, KY
- NPI 1225695851
-
- Neuromusculoskeletal Medicine & OMM Physician
- Louisville, KY
- NPI 1477900629
Nurse Practitioner
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1124078696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1215968003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6902B GRAHN RD",
"city": "OLIVE HILL",
"state": "KY",
"postal_code": "411648147",
"telephone_number": "606-922-0121",
"fax_number": "606-548-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6902B GRAHN RD",
"city": "OLIVE HILL",
"state": "KY",
"postal_code": "411648147",
"telephone_number": "606-922-0121",
"fax_number": "606-548-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-STEPHENS",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DNP, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3003796",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3003796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000609845",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78010220",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2826311",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000298213",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olive Hill, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.