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SHANNON MARIE SMITH
NPI 1346463924
Rehabilitation Practitioner in Wyoming, MN

Active since April 11, 2007
5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 982-7000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Marie Smith NPPES

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

SHANNON MARIE SMITH (NPI 1346463924) is an individual rehabilitation practitioner in Wyoming, Minnesota, licensed in Minnesota (7892) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1346463924
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSHANNON MARIE SMITH
Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013
Mailing Address8028 242nd Ave NeStacy, MN 55079-9310
Phone(651) 982-7000
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346463924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in MN · 7892
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
5200 FAIRVIEW BLVD, Wyoming, MN 55092
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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.

LINDA KOEHLER
Rehabilitation Practitioner
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
SHANA M MCCRACKEN PA-C
Physician Assistant
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
SARAH CONNAUGHTY FUERSTENBERG MD
Pediatrics
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
JOHN B CARLSON-BUREN DPM
Podiatrist (Foot & Ankle Surgery)
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 389-0182
DEAN E KRATS MD
Emergency Medicine
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
MOLLY LEVY FNP-C
Nurse Practitioner (Family)
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7600
NATASHA LEWIS
Speech-Language Pathologist
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
MANI MOKALLA MD
Pediatrics
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000

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 1346463924. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Shannon Smith located?

Shannon Smith practices at 5200 Fairview Blvd, Wyoming, MN 55092. The listed phone number is (651) 982-7000.

What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.