Active NPI
Shannon Bright Smith, APRN, ACNS-BC, CNE
- Adult Health Clinical Nurse Specialist
- Orangeburg, SC
National Provider Identifier
1568604338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 18774
- Practice address
- 400 Magnolia St # 135a
Orangeburg, SC 29115-6815 - Phone
- (803) 535-5241
- Fax
- (803) 535-5576
- NPI assigned
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 18774 | SC | Primary |
Addresses
Primary practice location
400 Magnolia St # 135a
Orangeburg, SC 29115-6815
Mailing address
270 Mount Hope Dr
Orangeburg, SC 29118-9013
Phone (843) 437-3790
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shaybeth@att.net |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18774 | SC | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1568604338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 MOUNT HOPE DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291189013",
"telephone_number": "843-437-3790",
"fax_number": "803-535-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MAGNOLIA ST # 135A",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156815",
"telephone_number": "803-535-5241",
"fax_number": "803-535-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHANNON",
"middle_name": "BRIGHT",
"name_prefix": "Dr.",
"credential": "APRN, ACNS-BC, CNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "SC",
"license": "18774",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shaybeth@att.net",
"affiliation": "N",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "400 Magnolia St # 135A",
"city": "Orangeburg",
"state": "SC",
"country_code": "US",
"postal_code": "291156815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.