Shandell Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

P-2214 Issued in NE

Practice address

6316 N 51St Ave
Omaha, NE 68104-1331

Phone

(402) 880-2762

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1629884705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 N 51ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041331",
            "telephone_number": "402-880-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 N 51ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041331",
            "telephone_number": "402-880-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANDELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-2214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah M. Smith, PLMHP
• Scott William Smith, NURSE PRACTITIONER
• Sean Smith, DC
• Sequoia Smith
• Sergio G Smith
• Shane Smith, DC
• Shanna L Smith
• Sharyce Smith
• Shaylynn R Smith
• Shiloh Smith

• Addiction (Substance Use Disorder) Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.