SHONTELLE SMITH (NPI# 1720365075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720365075 |
| Entity Type | Individual |
| Full Name | SHONTELLE SMITH |
| Credential | CNIM, R.EPT |
| Practice Address |
617 Holly St Angleton TX 77515-4823 |
| Practice Telephone | 8322986168 |
| Mailing Telephone | 8322986168 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
617 HOLLY ST |
| City | ANGLETON |
| State | TX |
| Zip Code | 77515-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725561 | Eve Salinas | Registered Nurse | 610 Cr 199 #11, Angelon, TX 77515 | 2020-06-19 |
| 1861953754 | Ez Pharmacy Group LLC | Pharmacy | 1100 C E Mulberry, Angelton, TX 77515 | 2019-03-25 |
| 1063910230 | Servicios Medicos Para Todos S.a. De C.v. | General Acute Care Hospital | 872-874 Av. Lopez Portillo Sm 59 Mz 37, Unidad Morelos Entre Av. Kabah Y Av. Comalcalco, Cancun, QUINTANA ROO 77515 | 2018-01-23 |
| 1922536671 | Covenant Mobile Healthcare LLC | Nurse Practitioner | Family First Primary Care, 732 E. Henderson Rd, Angleton, TX 77515 | 2017-05-25 |
| 1992254726 | Stephen Ricks Jr. | Nurse Practitioner | 732 E. Henderson Rd, Angleton, TX 77515 | 2016-09-21 |
| 1568849867 | Nancy Vanaphan | Physician Assistant | 146 E Hospital Dr Ste 208, Angleton, TX 77515 | 2015-05-06 |
| 1235560723 | Neuro Analysis Diagnostics | Clinic/Center | 2315 E. Magnolia St., Angleton, TX 77515 | 2013-12-09 |
| 1619308327 | Patricia G. Rios | Speech-Language Pathologist | 120 E. Hospital Dr., Angleton, TX 77515 | 2013-12-05 |
| 1336587716 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 800 N. Arcola, Angelton, TX 77515 | 2013-06-07 |
| 1356620314 | Monica Rose Mehalshick | Contractor | 1820 County Road 36, Serenity Light Recovery LLC, Angleton, TX 77515 | 2011-08-09 |
| Find all providers in zip 77515 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154936706 | Austin A Almeida | Specialist/Technologist, Other | 6636 Deming Dr, Waco, TX 76712-7580 | 2020-09-10 |
| 1902411556 | Natalie Lily Avshman | Specialist/Technologist, Other | 10410 Legacy Cv, San Antonio, TX 78240-4421 | 2020-09-10 |
| 1124633706 | Andrea Monserrat Hernandez | Specialist/Technologist, Other | 9018 Savannah Loop, Laredo, TX 78046-5180 | 2020-09-10 |
| 1427661347 | Trumed Health Partners, LLC | Specialist/Technologist, Other | 5899 Preston Rd Ste 303, Frisco, TX 75034-9588 | 2020-08-29 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1790301216 | Kenslie A Dews | Specialist/Technologist, Other | 114 Dews Dr, Whitehouse, TX 75791-5002 | 2020-06-20 |
| 1578198990 | Iom Opi LLC | Specialist/Technologist, Other | 3080 E Lakeside Dr, Beaumont, TX 77707-2400 | 2020-03-05 |
| 1558996058 | Careus Iom | Specialist/Technologist, Other | 17222 Kendall Ridge Ln, Houston, TX 77095-5199 | 2020-03-05 |
| 1114552627 | Caretact Management, LLC | Specialist/Technologist, Other | 5407 Southern Oaks, San Antonio, TX 78261-2485 | 2020-03-04 |
| 1063043503 | Forefront Medical Solutions, LLC. | Specialist/Technologist, Other | 7401 Boca Raton Dr, North Richland Hills, TX 76182-3265 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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| 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.