Shannon Lee Smith, RN, BSN, PED-BC

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

69303 Issued in ME

Practice address

489 State St
Bangor, ME 04401-6616

Phone

(207) 973-8760

NPI assigned

Aug 20, 2026

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

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1720994767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SKYVIEW AVE",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122379",
            "telephone_number": "207-745-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "credential": "RN, BSN, PED-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "ME",
            "license": "69303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Anne Smith, OTR LMT
• Megan Elizabeth Smith, LCPC
• Paul N Smith, M.D.
• Ronald Smith, DMD
• Sandy Smith, LCPC
• Vivien Smith, RN
• Zachary E Smith, MD
• Zachary Paige Smith, CRNA
• Kara Smythe, M.D.
• Robert P Snead, MD

• Pediatric Registered Nurse in Bangor, ME
• Providers in Bangor, ME by specialty
• Pediatric Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.