MRS. SHANNON MACHELLE SMITH FNP-CPMHNP-BC NPI 1790316040

NPI Information

  • NPI: 1790316040
  • Provider Name: MRS. SHANNON MACHELLE SMITH, FNP-C,PMHNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7705 HAPPY HOLLOW DR
    MINT HILL, NC
    ZIP 28227
  • Phone: (704) 819-6428

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NPI Details

MRS. Shannon Machelle Smith, FNP-C,PMHNP-BC is a family nurse practitioner in Mint Hill, NC with 6 years of experience. MRS. Shannon Machelle Smith, FNP-C,PMHNP-BC NPI is 1790316040. 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:

7705 HAPPY HOLLOW DR
MINT HILL, NC
ZIP 28227-518
Phone: (704) 819-6428

The NPI 1790316040 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 1/27/2020 and was last updated on 1/31/2025.

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 PractitionerFamilyF01200837NORTH CAROLINANo
2363LF0000XNurse PractitionerFamily3-000628ALABAMANo
3363LF0000XNurse PractitionerFamily0035870OREGONNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN1009335FLORIDANo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthF01200837NORTH CAROLINANo
6363LP0808XNurse PractitionerPsychiatric/Mental Health3-00628ALABAMANo
7363LP0808XNurse PractitionerPsychiatric/Mental Health0035870OREGONNo
8363LF0000XNurse PractitionerFamilyAPRN1009335FLORIDAYes

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: 3/30/2025

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