Shana Belle Smith, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R877613 Issued in MS

Practice address

401 S Church St
Charleston, MS 38921-2257

Phone

(662) 647-5816

Fax

(662) 647-5705

NPI assigned

Feb 11, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Redmed, LLC

  • Urgent Care Clinic/Center
  • Pontotoc, MS
  • NPI 1437589157
  Medicare reassignment NPD
• Redmed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1679305031
  NPD

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1801287883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S CHURCH ST",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389212257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S CHURCH ST",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389212257",
            "telephone_number": "662-647-5816",
            "fax_number": "662-647-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANA",
        "middle_name": "BELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R877613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R877613",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Pullen, FNP-C
• Ronal Roberson, DMD
• Angela C Rounds
• Angela Bailey Rowsey
• Anne Wilson Selby, FNP
• Southern Discount Drugs of Charleston Inc
• Southern Discount Drugs of Charleston Inc.
• Square Drugs, LLC
• Tallahatchie Eyecare, PLLC
• Tallahatchie General Hospital

• Family Nurse Practitioner in Charleston, MS
• Providers in Charleston, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.