Active NPI
Shauna B. Smith, DNP-C
- Registered Nurse
- Chicago, IL
National Provider Identifier
1972247401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041485032
- Practice address
- Cancer Treatment Centers of America
160 E. Illinois Street
Chicago, IL 60611 - Phone
- (800) 322-9183
- NPI assigned
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.025741 | IL | |
| Registered Nurse | 163W00000X | 041485032 | IL | Primary |
Addresses
Primary practice location
Cancer Treatment Centers of America
160 E. Illinois Street
Chicago, IL 60611
Mailing address
Cancer Treatment Centers of America
2361 Paysphere Circle
Chicago, IL 60674
Phone (800) 322-9183
Other names 1
- Shauna M Barry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041485032 | IL | MD | Registered Nurse |
| 209.025741 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
Interoperability endpoints
- ssmith145087@cityofhope.direct-ci.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1972247401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CANCER TREATMENT CENTERS OF AMERICA",
"address_2": "2361 PAYSPHERE CIRCLE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60674",
"telephone_number": "800-322-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CANCER TREATMENT CENTERS OF AMERICA",
"address_2": "160 E. ILLINOIS STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "800-322-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHAUNA",
"middle_name": "B.",
"credential": "DNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2022-10-14",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.025741",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041485032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAUNA",
"last_name": "BARRY",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.