Sophie Shawndell Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

17100000X Issued in NE

Practice address

9814 M St
Omaha, NE 68127-2056

Phone

(402) 444-6500

NPI assigned

Feb 26, 2025

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

Practice roles

Locations

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.

• Eastern Nebraska Human Services Agency

  • Developmental Disabilities Clinic/Center
  • Omaha, NE
  • NPI 1043010143
  NPD
• Richard M Buttner DPT PC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Waterloo, NE
  • NPI 1285940791
  NPD (past)

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1326845504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272056",
            "telephone_number": "402-444-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9814 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272056",
            "telephone_number": "402-444-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SOPHIE",
        "middle_name": "SHAWNDELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NE",
            "license": "17100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna L Smith
• Sharyce Smith
• Shaylynn R Smith
• Shiloh Smith
• Shrenda Smith
• Stacey Smith, BSN, RN, CPN
• Stanley R Smith, MD
• Stephen B Smith, M.D.
• Susan M Smith, LMHP LCSW
• Talia Smith

• Case Manager/Care Coordinator in Omaha, NE
• Providers in Omaha, NE by specialty
• Case Manager/Care Coordinator in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.