Shamira Raquel Smith, REGISTERED NURSE

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

835324 Issued in TX

Practice address

4455 Horizon Hill Blvd
San Antonio, TX 78229-2258

Phone

(210) 331-7473

NPI assigned

Oct 2, 2024

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1285452730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 HORIZON HILL BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292258",
            "telephone_number": "210-331-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 HORIZON HILL BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292258",
            "telephone_number": "210-331-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAMIRA",
        "middle_name": "RAQUEL",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "835324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Smith
• Samantha Larke Smith
• Sapphire Smith
• Sarah Smith
• Sarah Elizabeth Smith
• Sharronda Marie Smith, LPC-A
• Shelly R Smith, NP
• Shilain Smith, PH.D LPC
• Stacey R Smith, DDS
• Steven Patrick Smith, PHARMD

• Administrator Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.