SHELBY SMITH NPI 1962885202

NPI Information

NPI: 1962885202
Provider Name: SHELBY SMITH
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
111 MICHIGAN AVE NW
WASHINGTON, DC
ZIP 20010
Phone: (301) 367-4439
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Shelby Smith is a pediatrics nurse practitioner in Washington, DC. Shelby Smith NPI is 1962885202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 MICHIGAN AVE NW
WASHINGTON, DC
ZIP 20010-916
Phone: (301) 367-4439

The NPI 1962885202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2015 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		687196	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	382605	NEW YORK	No
3	363LP0200X	Nurse Practitioner	Pediatrics	RN1044497	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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