Tasha Shea Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

109192 Issued in OK

Practice address

2225 N. Union
Ponca City, OK 74601-1536

Phone

(580) 308-5515

Fax

(580) 749-5792

NPI assigned

Jul 10, 2020

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

Other names 1

• Tasha Shea Leatherman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1952929515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N. UNION",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011536",
            "telephone_number": "580-308-5515",
            "fax_number": "580-749-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N. UNION",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011536",
            "telephone_number": "580-308-5515",
            "fax_number": "580-749-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TASHA",
        "middle_name": "SHEA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "109192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "LEATHERMAN",
            "middle_name": "SHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kara Smith, LPC
• Malcolm Derek Smith, DPM
• Pamela Michelle Smith, APRN, FNP-C
• Sierra Smith
• Sydni Lee Smith
• Jason Michael Snyder, RPT
• Stephen R Snyder, CRNA
• Soaring Heights Mental Health, LLC
• Shannon Renae Somers, APRN-CNP
• Jess Lyndon Soto, MS, PT

• Registered Nurse in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.