SHAFONNE MONIQUE SMITH WHNP-BC NPI 1770928343

NPI Information

  • NPI: 1770928343
  • Provider Name: SHAFONNE MONIQUE SMITH, WHNP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 401 HOLLY HILLS AVE
    SAINT LOUIS, MO
    ZIP 63111
  • Phone: (314) 353-5190

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NPI Details

Shafonne Monique Smith, WHNP-BC is an adult health nurse practitioner in Saint Louis, MO. Shafonne Monique Smith, WHNP-BC NPI is 1770928343. 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:

401 HOLLY HILLS AVE
SAINT LOUIS, MO
ZIP 63111-410
Phone: (314) 353-5190
Fax: (314) 353-7631

The NPI 1770928343 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 5/8/2013 and was last updated on 9/30/2024.

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
1363LA2200XNurse PractitionerAdult Health2016009888MISSOURIYes
2225700000XMassage Therapist2024011653MISSOURINo
3363LG0600XNurse PractitionerGerontology2016009888MISSOURINo
4363LW0102XNurse PractitionerWomen's Health28208566AINDIANANo

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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