Shannon Smith, PT

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

9617 Issued in NC

Practice address

600 N Elm St
High Point, NC 27262-4332

Phone

(336) 878-6915

NPI assigned

Feb 13, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• High Point Regional Health

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1194123810
  NPD (past)
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1891234704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MALL LOOP ROAD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624332",
            "telephone_number": "336-878-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NC",
            "license": "9617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynelle Smith
• Natalie Reid Smith, FNP-C
• Patrick Michael Smith, PTA
• Rachael N Smith, LPC
• Reginald Drew Smith, CRNA
• Sylvester R. Smith, MSRC; LPC, CRC, LCAS
• Tracey Helms Smith, D.C
• Vanessa White Smith
• William George Smith Jr., M.D.
• Deborah Nance Smothers, FNP

• Prevention Professional in High Point, NC
• Providers in High Point, NC by specialty
• Prevention Professional in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.