Shelly Szada Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9304187 Issued in FL

Practice address

11744 Beach Blvd
Jacksonville, FL 32246-8475

Phone

(904) 265-2050

NPI assigned

Oct 5, 2011

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

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1285918458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE",
            "address_2": "SUITE 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555544",
            "telephone_number": "305-662-5200",
            "fax_number": "305-284-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11744 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468475",
            "telephone_number": "904-265-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZADA SMITH",
        "first_name": "SHELLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9304187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Health Group LLC (Synergy Lifestyle Center)
• Synergy Pharmacy Medical Consulting LLC
• Synergy Support Coordination
• Synexis Lab and Diagnostics LLC
• Timothy Martin Syperek, D.P.M.
• Alexsandra Szajna, DPM
• Arpad Szallasi, MD PHD
• Madison Leilani Szar, MD
• Daniela Szeneszi Nodine, MS
• Jane Elizabeth Szerba

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.