SHAYLYNN SHERRICK SMITH FNP-C NPI 1013764224

NPI Information

  • NPI: 1013764224
  • Provider Name: SHAYLYNN SHERRICK SMITH, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2303 PARK AVE
    BURLEY, ID
    ZIP 83318
  • Phone: (208) 677-3073

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NPI Details

Shaylynn Sherrick Smith, FNP-C is a family nurse practitioner in Burley, ID with 2 years of experience. Shaylynn Sherrick Smith, FNP-C NPI is 1013764224. 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:

2303 PARK AVE
BURLEY, ID
ZIP 83318-106
Phone: (208) 677-3073

The NPI 1013764224 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 5/6/2024 and was last updated on 5/6/2024.

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
1363LF0000XNurse PractitionerFamily79295IDAHOYes

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: 11/21/2025

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