Shawnta Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12250 Issued in KS

Practice address

2121 SW Chelsea Dr
Topeka, KS 66614-1756

Phone

(785) 291-9644

NPI assigned

Oct 20, 2022

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Luminary Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Derby, KS
  • NPI 1437866084
  Medicare reassignment NPD
• Be Kind Therapy LLC

  • Social Worker
  • Wichita, KS
  • NPI 1588472799
  NPD Authorized official
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1912624958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SW CHELSEA DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141756",
            "telephone_number": "785-291-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW CHELSEA DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141756",
            "telephone_number": "785-291-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWNTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie E Smith, APRN
• Mary E Smith
• Michael L Smith, MD
• Michael Thomas Smith, OD
• Patricia Anne Smith, WHNP-BC
• Skylar Smith, DPT
• Taylor Patricia Smith, CPNP-PC
• Karen Smothers, LSCSW
• Jack Walter Snarr, M.D.
• Heather Faith Snavely, RN, CNL

• Social Worker in Topeka, KS
• Providers in Topeka, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.