Individual provider Active NPI

Shekia Lynessa Smithgroomes

  • Registered Respiratory Therapist
  • Jacksonville, FL
National Provider Identifier
1558249151
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT8779 Issued in FL
Practice address
4463 Loveland Pass Dr W
Jacksonville, FL 32210-1402
Phone
(850) 321-4073
NPI assigned
Aug 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Registered Respiratory Therapist 2279C0205X RT8779 FL
Emergency Care Registered Respiratory Therapist 2279E0002X RT8779 FL
Educational Registered Respiratory Therapist 2279E1000X RT8779 FL
General Care Registered Respiratory Therapist 2279G1100X RT8779 FL
Home Health Registered Respiratory Therapist 2279H0200X RT8779 FL
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X RT8779 FL
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X RT8779 FL
Pulmonary Function Technologist Registered Respiratory Therapist 2279P1006X RT8779 FL
Geriatric Care Registered Respiratory Therapist 2279G0305X RT8779 FL
Palliative/Hospice Registered Respiratory Therapist 2279P3800X RT8779 FL
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X RT8779 FL
Patient Transport Registered Respiratory Therapist 2279P4000X RT8779 FL
SNF/Subacute Care Registered Respiratory Therapist 2279S1500X RT8779 FL
Registered Respiratory Therapist 227900000X RT8779 FL Primary

Addresses

Primary practice location

4463 Loveland Pass Dr W
Jacksonville, FL 32210-1402

Mailing address

4463 Loveland Pass Dr W
Jacksonville, FL 32210-1402
Phone (850) 321-4073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT8779FLMDSNF/Subacute Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1558249151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 LOVELAND PASS DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101402",
            "telephone_number": "850-321-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 LOVELAND PASS DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101402",
            "telephone_number": "850-321-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHGROOMES",
        "first_name": "SHEKIA",
        "middle_name": "LYNESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Geriatric Care",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279P3800X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Palliative/Hospice",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Patient Transport",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": "FL",
            "license": "RT8779",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT8779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.