Individual provider Active NPI

Shannon Bright Smith, APRN, ACNS-BC, CNE

  • Adult Health Clinical Nurse Specialist
  • Orangeburg, SC
National Provider Identifier
1568604338
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
18774 Issued in SC
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

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
18774SCMDAdult 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.

Verify at the official NPI Registry.