Shjade Carolina Smith, APRN, CNP
Nurse Practitioner, Psych/Mental Health in Kansas City, MO. Individual provider (NPI-1).
NPI number1710696919
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1710696919
- Entity type
- Individual (NPI-1)
- Name
- Shjade Carolina Smith
- Credential
- APRN, CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | CP002571 | SD | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 10387 | MN |
Other names
- Shjade Heutzenroeder (Former Name)
Practice location
6025 Ne 119th StKansas City, MO 64156-1099
Phone 605-261-4106
Mailing address
6025 Ne 119th StKansas City, MO 64156-1099
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