Shelly Smith

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

401 N Oklahoma Ave
Mangum, OK 73554-3011

Phone

(580) 782-5912

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1992275721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N OKLAHOMA AVE",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735543011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N OKLAHOMA AVE",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735543011",
            "telephone_number": "580-782-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANGUM PUBLIC SCHOOLS",
            "identifier": "736021103",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Everett Scoggins
• Nathan Sethman, DDS
• Pamela Beth Sherrill, M.ED.
• Ashley Brooke Slaton, APRN-CNP
• Christian Smith
• Frank M Talley, M.ED L.A.DC
• TLC of Chiropractic L.L.C. (The Locklear Clinic of Chiropractic)
• Triad Home Health LLC
• Lexie Noel Turner
• United Pharmacy of Mangum LLC (United Pharmacy of Mangum)

• Personal Care Attendant in Mangum, OK
• Providers in Mangum, OK by specialty
• Personal Care Attendant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.