SHANNON SMALLEY
NPI 1609300383
Specialist in Spanish Fork, UT

Active since April 19, 2017
114 E 800 N, SPANISH FORK, UT 84660(801) 794-1490 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Smalley NPPES

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

SHANNON SMALLEY (NPI 1609300383) is an individual specialist in Spanish Fork, Utah, licensed in Utah (204009858) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1609300383
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSHANNON SMALLEY
Location Address114 E 800 NSpanish Fork, UT 84660-1209
Mailing Address114 E 800 NSpanish Fork, UT 84660-1209 · (801) 794-1490
Sole ProprietorNo
Enumeration DateApril 19, 2017
NPI 1609300383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in UT · 204009858
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
114 E 800 N, Spanish Fork, UT 84660

Other Identifiers 4

Other1821299751UT · Npi
Other1063481646UT · Npi
Medicare PIN09858UT
Other1194744615UT · Npi

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (MOHS-Micrographic Surgery)
114 E 800 N
SPANISH FORK, UT 84660
Dermatology
114 E 800 N
SPANISH FORK, UT 84660
Dermatology
114 E 800 N
SPANISH FORK, UT 84660
Physician Assistant
114 E 800 N
SPANISH FORK, UT 84660
Dermatology (MOHS-Micrographic Surgery)
114 E 800 N
SPANISH FORK, UT 84660

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 Smalley's NPI number?

The NPI number for Shannon Smalley is 1609300383. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Shannon Smalley located?

Shannon Smalley practices at 114 E 800 N, Spanish Fork, UT 84660. The listed phone number is (801) 794-1490.

What is Shannon Smalley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shannon Smalley was last updated on April 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.