Shurland E Smith

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1357077 Issued in NY

Practice address

306 Miller Ave
Freeport, NY 11520-5517

Phone

(347) 409-6642

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shurland E Junious Other name

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1336970482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MILLER AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205517",
            "telephone_number": "347-409-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MILLER AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205517",
            "telephone_number": "347-409-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHURLAND",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1357077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHURLAND",
            "last_name": "JUNIOUS",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Anna Sivilli, RPH
• Michael Smar, MD
• Shannon Smith-McCourt, LCSW
• Bianca Josephine Smith, LMT
• Shayiah P Smith
• Vanessa Sobers
• Jennifer Sommermann, LCMT
• South Nassau Internal Medicine Associates, LLP
• South Nassau Pediatrics,LLP
• South Nassau Urology, PC

• Early Intervention Provider Agency in Freeport, NY
• Providers in Freeport, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.