Shawanda Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

330019 Issued in TX

Practice address

9203 Kransbury LN
Houston, TX 77095-7251

Phone

(713) 799-2200

NPI assigned

Dec 17, 2018

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1245701242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 KRANSBURY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770957251",
            "telephone_number": "713-799-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 KRANSBURY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770957251",
            "telephone_number": "713-799-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "330019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shameka Renne Smith, LMSW
• Shannon Renette Smith, LPC-S
• Sharicco Smith, M.A.
• Sharon Althea Smith, M.D.
• Shaun Smith, CRC
• Shelley Smith, LPC
• Shelley M Smith, PTA
• Sherena L Smith
• Sherrell Motise Smith
• Shiquita Smith, RBT

• Licensed Practical Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.