Shannon Smith

Primary specialty

HomemakerTaxonomy code 376J00000X

License

69043601 Issued in PA

Practice address

1810 W Rockland St
Philadelphia, PA 19141-1017

Phone

(267) 709-3079

NPI assigned

Dec 5, 2022

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

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407567076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 W ROCKLAND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411017",
            "telephone_number": "267-709-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W ROCKLAND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411017",
            "telephone_number": "267-709-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-09-11",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "PA",
            "license": "69043601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P Smith, PA-C
• Sean Terence Smith
• Seth Alvin Smith, MD
• Shanell Briana Smith
• Shannin Smith
• Sharon Ann Smith, MA
• Shawn C. Smith, RPH
• Sheridan A. Smith, LSW
• Shykela Renee Smith
• Stepfanie Smith, LCSW

• Homemaker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Homemaker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.