Shawna Smith, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4500 W Midway Rd
Fort Pierce, FL 34981-4823

Phone

(772) 672-8330

Fax

(772) 468-5633

NPI assigned

Dec 18, 2013

Sex

Female

Sole proprietor

No

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1740601780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814823",
            "telephone_number": "772-672-8330",
            "fax_number": "772-468-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814823",
            "telephone_number": "772-672-8330",
            "fax_number": "772-468-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWNA",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596153749",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Smith, DC
• Linda Smith
• Loretta Smith
• Patricia A Smith, RRT
• Rachel Smith
• Spencer Smodish, DO
• Wendy Renee Snelling, OTR
• Kathy Beth Snyder, RN
• Catherine Soldatich
• Theresa Tracey Solesky, PT

• Mental Health Counselor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.