Individual provider Active NPI

Shaina Kristie Smolik, NP

  • Pediatric Nurse Practitioner
  • Braintree, MA
National Provider Identifier
1780138354
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2299260 Issued in MA
Practice address
220 Forbes Rd Ste 400
Braintree, MA 02184-2715
Phone
(617) 322-2694
NPI assigned
Aug 11, 2016
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN2299260 MA Primary

Addresses

Primary practice location

220 Forbes Rd Ste 400
Braintree, MA 02184-2715

Mailing address

220 Forbes Rd Ste 400
Braintree, MA 02184-2715
Phone (617) 322-2694

Other names 1

  • Shaina Kristie Vaczy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180312002293 MA Practitioner - Nurse Practitioner 6901168814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates, Inc. Hospitalist CurrentSince Mar 10, 2018 Accepting new patients
The Spaulding Rehabilitation Hospital Corporation Current Accepting new patients
Raun D. Melmed Past Accepting new patients
Cortica Developmental Therapies PA PastSince Aug 10, 2025 Accepting new patients
Cortica ABA Therapies PA PastSince Aug 10, 2025 Accepting new patients

Locations

300 1st Ave
Fl 8
Charlestown, MA 02129
Phone (617) 952-5800

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

9 Northeastern Blvd
Ste 400
Salem, NH 03079

Interoperability endpoints

  • Direct secure messaging: shaina.smolik.1@14973.direct.athenahealth.com
  • Direct secure messaging: smolik.shaina.epa@direct.partners.masshiway.net
  • Direct secure messaging: smolik.shaina.srh@direct.partners.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1780138354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FORBES RD STE 400",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842715",
            "telephone_number": "617-322-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORBES RD STE 400",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842715",
            "telephone_number": "617-322-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLIK",
        "first_name": "SHAINA",
        "middle_name": "KRISTIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2299260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAINA",
            "last_name": "VACZY",
            "middle_name": "KRISTIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.