Shjade Carolina Smith, APRN, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CP002571 Issued in SD

Practice address

6025 NE 119TH St
Kansas City, MO 64156-1099

Phone

(605) 261-4106

NPI assigned

Nov 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shjade Heutzenroeder Former name

Medicare fee-for-service enrollment

Enrolled in SD, MN, MT, ND4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Wellness CollectiveGroup PAC ID 1951722834, 9 clinicians

Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssmith686105@direct.centracare.com
• Direct secure messaging: ssmith272965@uihcdirect.org

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.

• The Wellness Collective LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1679195580
  Medicare reassignment Care Compare group NPD
• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352
  Medicare reassignment Care Compare group NPD
• Bozeman Health Deaconess Hospital

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1619347390
  Medicare reassignment NPD
• City of Sioux Falls

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1932295888
  Medicare reassignment NPD
• North Memorial Health Care

  • General Acute Care Hospital
  • Robbinsdale, MN
  • NPI 1851344907
  Medicare reassignment NPD
• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805
  Medicare reassignment NPD
• Olmsted Medical Center

  • Clinic/Center
  • Rochester, MN
  • NPI 1952356297
  Medicare reassignment NPD
• Sanford Bismarck

  • Multi-Specialty Clinic/Center
  • Bismarck, ND
  • NPI 1811941172

  SD

  Medicare reassignment NPD
• Bozeman Health Deaconess Hospital

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1013733955
  NPD
• Bozeman Health Deaconess Hospital

  • Emergency Medicine Physician
  • Bozeman, MT
  • NPI 1437529112
  NPD
• City of Sioux Falls

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1508103243
  NPD
• City of Sioux Falls

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1902130818
  NPD

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1710696919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 NE 119TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641561099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 NE 119TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641561099",
            "telephone_number": "605-261-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHJADE",
        "middle_name": "CAROLINA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP002571",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHJADE",
            "last_name": "HEUTZENROEDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Elizabeth Smith, NP-C
• Sarah Frances Smith, LMT
• Savanna Jo Smith, PHARMD
• Shannon Elizabeth Smith, LCSW
• Sherita E Smith, LMSW
• Sierra Smith, MOT OTR/L
• Stephen M Smith, BS PHARM, RPH
• Steven Smith
• Summer Jean Smith, APRN
• Susan Elizabeth Smith, RN, APRN

• Psychiatric/Mental Health Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.