Shiloh Smith, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00021583 Issued in WA

Practice address

12704 Mukilteo Speedway
Ste. C
Mukilteo, WA 98275-5720

Phone

(425) 290-1919

NPI assigned

Feb 26, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Van Driessche Chiropractic P S

  • Preferred Provider Organization
  • Mukilteo, WA
  • NPI 1184884108
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609902204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 MUKILTEO SPEEDWAY",
            "address_2": "STE. C",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755720",
            "telephone_number": "425-290-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12704 MUKILTEO SPEEDWAY",
            "address_2": "STE. C",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755720",
            "telephone_number": "425-290-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHILOH",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0203404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Skemp, OTR-L
• Kevlin Slingwine, DNP, ARNP, AGNP-C
• Joshua Sloane I
• Ansebe Smit
• Jenelle Smith
• Said A Sokhandan, ND
• Sonu Lamba and Paul S Kahlon, PS
• Miriam Carla Sorensen, FNP
• Sound Family and Sports Chiropractic, PLLC
• Sound Family Dentistry Inc

• Specialist in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.