Individual provider Active NPI

Shelley Smith

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1922496082
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
UNSUP Issued in OK
Practice address
1737 Linwood Blvd
Oklahoma City, OK 73106-5037
Phone
(405) 239-6815
Fax
(405) 239-2637
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X UNSUP OK Primary

Addresses

Primary practice location

1737 Linwood Blvd
Oklahoma City, OK 73106-5037

Mailing address

1737 Linwood Blvd
Oklahoma City, OK 73106-5037
Phone (405) 239-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
UNSUPOKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1922496082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 LINWOOD BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065037",
            "telephone_number": "405-239-6815",
            "fax_number": "405-239-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 LINWOOD BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065037",
            "telephone_number": "405-239-6815",
            "fax_number": "405-239-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "UNSUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.