Sonya Smith, A.D.N., RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

041.396056 Issued in IL

Practice address

800 N Main St
Anna, IL 62906-1665

Phone

(618) 833-4456

Fax

(618) 833-2371

NPI assigned

Apr 2, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

• Sonya Camden Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2025.

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1407650211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962210",
            "telephone_number": "618-326-2772",
            "fax_number": "618-937-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061665",
            "telephone_number": "618-833-4456",
            "fax_number": "618-833-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SONYA",
        "credential": "A.D.N., RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "041.396056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "CAMDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Alan Sherrill, PA-C
• Tiffany Ann Short, BCBA
• Jodi Simmons, BA, MHP
• David Keith Smiley, RPH
• Amanda June Smith, LCSW
• Brent R Snell, D.O.
• Toni Snell, RN
• Southern Illinois Hospital Services
• Southern Illinois Hospital Services
• Southern Illinois Medical Services, NFP

• All providers in Anna, IL
• Addiction (Substance Use Disorder) Registered Nurse in Illinois

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