Individual provider Active NPI

Shannon Leigh Smith-Stephens, DNP, APRN

  • Nurse Practitioner
  • Olive Hill, KY
National Provider Identifier
1215968003
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3003796 Issued in KY
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

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000609845OtherKYANTHEM BCBS
78010220MedicaidKY
2826311MedicaidOH
000000298213OtherKYANTHEM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000149 KY Practitioner - Nurse Practitioner 9335299072 Reassigns benefits to 2 organizations

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 Hospital, Morehead, KY, CCN 180018
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3003796KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon L. Smith-Stephens, DNP, Aprn-BC, PLLC Nurse Practitioner CurrentSince May 20, 2019 Accepting new patients
Musculoskeletal Associates PLLC Nurse Practitioner CurrentSince Sep 5, 2025 Accepting new patients

Locations

506 Executive Park
Louisville, KY 40207
Phone (502) 213-3807

Interoperability endpoints

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.