Shawn Tyrell Smith, EMT,HAA

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

B102308706 Issued in VA

Practice address

3600 Millers Glen LN Apt 208
Richmond, VA 23231-2358

Phone

(804) 668-6472

NPI assigned

Jul 12, 2024

Sex

Male

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

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1831936269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MILLERS GLEN LN APT 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312358",
            "telephone_number": "804-668-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MILLERS GLEN LN APT 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312358",
            "telephone_number": "804-668-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWN",
        "middle_name": "TYRELL",
        "credential": "EMT,HAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "VA",
            "license": "B102308706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Jones Smith, DR DDS
• Sarah Smith
• Sarah Elizabeth Pauli Smith, M.D.
• Sha'Nece N Smith, LCSW
• Sharon B Smith, PT
• Sheena A Smith
• Shelley Christine Smith, NP
• Shenika Cherelle Smith
• Shirley Denise Smith
• Sloan Smith

• Basic Emergency Medical Technician in Richmond, VA
• Providers in Richmond, VA by specialty
• Basic Emergency Medical Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.