SHANNON SMITH (NPI# 1275860926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275860926 |
| Entity Type | Individual |
| Full Name | SHANNON SMITH |
| Practice Address |
1065 E Broad St Monticello MS 39654-7703 |
| Mailing Address |
125 T W Bass Rd Carson MS 39427-6276 |
| Practice Telephone | 6015871211 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | TA2242 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1821603267 | Shannon Alexandria Smith | Dietitian, Registered | 20621 Ne 1st Ct, Miami, FL 33179-1702 | 2020-09-12 |
| 1790316040 | Shannon Machelle Smith | Nurse Practitioner | 7705 Happy Hollow Dr, Mint Hill, NC 28227-8518 | 2020-01-27 |
| 1750925392 | Shannon Joy Smith | Nurse Practitioner | 152 Pearson Rd, Greer, SC 29651-7146 | 2019-11-06 |
| 1104308014 | Shannon Lynn Smith | Massage Therapist | 15131 Northville Rd, Plymouth, MI 48170-2548 | 2018-09-06 |
| 1548747181 | Shannon Marie Smith | Psychologist | 146 2nd St N Ste 305, Saint Petersburg, FL 33701-3361 | 2018-07-26 |
| 1942726393 | Shannon Elizabeth Smith | Counselor | 3535 S Sherwood Forest Blvd Ste 227, Baton Rouge, LA 70816-2255 | 2017-08-17 |
| 1043749450 | Shannon Michelle Smith | Marriage & Family Therapist | 707 W 5th Ave Apt 1116, Spokane, WA 99204-2780 | 2017-06-08 |
| 1033640644 | Shannon Elizabeth Smith | Social Worker | 212 W Red Bridge Rd, Kansas City, MO 64114-5136 | 2017-03-24 |
| 1518311240 | Shannon Kathleen Smith | Licensed Practical Nurse | 9040 Jackson Avenue, Attn Mchk-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-04-19 |
| Street Address |
1065 E BROAD ST |
| City | MONTICELLO |
| State | MS |
| Zip Code | 39654-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083726491 | Becky Jan Mercier | Nurse Practitioner | 1065 E Broad St, Monticello, MS 39654-7703 | 2006-08-31 |
| 1932721222 | Southwest Mississippi Regional Medical Center | Internal Medicine | 1065 E Broad St, Monticello, MS 39654-7703 | 2020-05-11 |
| 1568833580 | Atwood Emergency Physicians LLC | Emergency Medicine | 1065 E Broad St, Monticello, MS 39654-7703 | 2015-10-16 |
| 1942670930 | Mississippi Em-i Medical Serives PC | Physician Assistant | 1065 E Broad St, Monticello, MS 39654-7703 | 2015-10-02 |
| 1316172505 | Kim Lewis | Physical Therapist | 1065 E Broad St, Monticello, MS 39654-7703 | 2009-05-18 |
| 1508054404 | Jack Douglas | Physical Therapist | 1065 E Broad St, Monticello, MS 39654-7703 | 2007-10-05 |
| 1730303942 | Southwest Mississippi Regional Medical Center | Psychiatric Unit | 1065 E Broad St, Monticello, MS 39654-7703 | 2007-04-12 |
| 1992829725 | Southwest Mississippi Regional Medical Center | General Acute Care Hospital | 1065 E Broad St, Monticello, MS 39654-7703 | 2007-03-19 |
| 1255422457 | Southwest Ms Regional Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1065 E Broad St, Monticello, MS 39654-7703 | 2006-09-27 |
| 1669576385 | Southwest Mississippi Regional Medical Center | General Acute Care Hospital | 1065 E Broad St, Monticello, MS 39654-7703 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
| 1811169840 | Southwest Mississippi Planning and Development District | Clinic/Center | 1477 Fe Sellers Highway, Monticello, MS 39654 | 2008-03-31 |
| 1447429089 | Foot and Wound Institute of The South | Clinic/Center | 157 Fe Sellers Highway, Monticello, MS 39654 | 2008-02-28 |
| 1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
| 1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| Find all providers in zip 39654 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073813028 | Tara Lynn Reiley | Occupational Therapy Assistant | 22 Saint John St, Monticello, NY 12701-2118 | 2010-10-25 |
| 1689988420 | Maria Cecilia Ramos | Occupational Therapy Assistant | 606 Old Rt 17, Monticello, NY 12701-5954 | 2010-08-04 |
| 1487806980 | Linda N Lupinski | Occupational Therapy Assistant | 162 East Broadway, Monticello, NY 12701 | 2008-10-15 |
| 1780879882 | Dabney Jane Stell | Occupational Therapy Assistant | 111 Megan Dr., Monticello, AR 71655 | 2007-09-11 |
| 1528130804 | Debi Coleman Floyd | Occupational Therapy Assistant | 606 Old Rt. 17, Monticello, NY 12701 | 2006-11-14 |
| 1700420577 | Ashley Morales | Occupational Therapy Assistant | 162 E Broadway, Monticello, NY 12701-8815 | 2019-11-04 |
| 1295378495 | Catherine Amanda Rauls | Occupational Therapy Assistant | 168 W College Ave, Monticello, AR 71655-4820 | 2019-10-21 |
| 1578111019 | Daniel P Malloy | Occupational Therapy Assistant | 22 Saint John St, Monticello, NY 12701-2118 | 2019-08-28 |
| 1255837662 | Aline M Dolan | Occupational Therapy Assistant | 22 Saint John St, Monticello, NY 12701-2118 | 2018-04-04 |
| 1194273631 | Kara Beth Roy | Occupational Therapy Assistant | 778 Scogin Dr, Monticello, AR 71655-5729 | 2016-09-13 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 39654 |
Please comment or provide details below to improve the information on SHANNON SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.