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SHANNON LARA SMITH
NPI 1336329564
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since November 05, 2007
3200 ADELINE STREET, BERKELEY, CA 94703(415) 859-6264 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shannon Lara Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON LARA SMITH (NPI 1336329564) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1336329564
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON LARA SMITH
Location Address3200 ADELINE STREETBerkeley, CA 94703-3501
Mailing Address3200 Adeline StBerkeley, CA 94703-2407
Phone(415) 859-6264
Sole ProprietorNo
Enumeration DateNovember 5, 2007
Last NPPES UpdateJuly 31, 2008
✔ NPI 1336329564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3200 ADELINE STREET, Berkeley, CA 94703
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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 Shannon Smith's NPI number?

The NPI number for Shannon Smith is 1336329564. It was assigned to this individual provider in the NPPES registry on November 5, 2007.

Where is Shannon Smith located?

Shannon Smith practices at 3200 Adeline Street, Berkeley, CA 94703. The listed phone number is (415) 859-6264.

What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.