Shannon Smeltzer, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

99512 Issued in TX

Practice address

973 Harber Ave
Grapevine, TX 76051-6620

Phone

(817) 907-4594

NPI assigned

Aug 25, 2023

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1679358998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 HARBER AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 HARBER AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516620",
            "telephone_number": "817-907-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELTZER",
        "first_name": "SHANNON",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anissa Singratanakul, DMD
• Michele Leigh Skladzien, PA
• Christopher Slack, PHD
• Sleep Smart,L.P.
• Sleep Therapy Network, PLLC
• Smiles for You, PLLC
• Allison Smith
• Douglas Alexander Smith, DO
• Felisha Smith, OTR
• Glesni Smith, RN BSN

• Midwife in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.