SHELBY REBECCA SMART RN
NPI 1164139168
Registered Nurse - General Practice in Philadelphia, PA
About Shelby Rebecca Smart Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY REBECCA SMART RN (NPI 1164139168) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in California (95294467) and active in the NPI registry since October 2022.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shelby Smart's NPI number?
The NPI number for Shelby Smart is 1164139168. It was assigned to this individual provider in the NPPES registry on October 31, 2022.
Where is Shelby Smart located?
Shelby Smart practices at 1200 Intrepid Ave, Philadelphia, PA 19112. The listed phone number is (864) 764-0322.
What is Shelby Smart's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.
When was this NPI record last updated?
The NPPES record for Shelby Smart was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shelby Rebecca Smart, RN · NPI 1164139168
General Practice provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 31, 2022.
## Identity
- **NPI:** 1164139168 (Entity type: Individual)
- **Enumerated:** October 31, 2022
- **Primary specialty:** Registered Nurse - General Practice · taxonomy 163WG0000X
- **State license:** 95294467 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 INTREPID AVE, Philadelphia, PA 19112-1229
- **Phone:** (864) 764-0322
## Record status
- **NPPES last updated:** October 31, 2022
- **Other identifiers:** Other 95294467 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164139168) · Data from the CMS NPPES public registry.