Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023474251 Individual Practitioner Female Practitioner

Shannon Taylor Smith , CPNP

Nurse Practitioner - Pediatrics • Norfolk, VA

Professional Overview & Biography Verified Profile Summary

Shannon Smith, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Norfolk, VA. Practice services are available at 171 KEMPSVILLE RD BLDG A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

171 Kempsville Rd Bldg A

Norfolk, VA 235024700

Telephone 7576686550
Fax 7576686545
Associated Practice Facility / Clinic
🏢 Atlantic Internal Medicine Facility NPI 1427657667

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Norfolk, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
48 Specialists

Practicing in Norfolk, VA (606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-19
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License VA 0024172592

Definition to come...

Secondary Practice Locations

500 Discovery Dr

Chesapeake, VA 233203871

Phone: 7576686550

601 Childrens Ln

Norfolk, VA 235071910

Phone: 7576686550

2021 Concert Dr

Virginia Beach, VA 234568082

Phone: 7576686550

1924 Landstown Centre Way

Virginia Beach, VA 234561624

Phone: 7576686550

11783 Rock Landing Dr

Newport News, VA 236064431

Phone: 7576686550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Ashley Thomas , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013648609

Certified Athletic Trainer

Dr. Harvey St. Clair , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1023023793

Doctor of Medicine (M.D.)

Dr. Christopher Jackson , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1043673387

Doctor of Medicine (M.D.)

Jennifer Gordon

Physician Assistant

NPI 1104310010
Jonathan Daly , PA-C

Physician Assistant

NPI 1124546163

Physician Assistant (Certified)

Julie Banaszak , ATC

Specialist/Technologist - Athletic Trainer

NPI 1164168480

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 19, 2025

Registered at 171 KEMPSVILLE RD BLDG A, NORFOLK, VA 235024700 (Tel: 7576686550)

👤
Provider Name / Credentials Updated September 10, 2018

Recorded as SHANNON SMITH, CPNP

NPI Profile Active January 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2016

Registered at 601 CHILDRENS LN, NORFOLK, VA 235071910 (Tel: 7576687878)

📍
Updated Business Mailing Address January 04, 2016

Registered at 601 CHILDRENS LN, NORFOLK, VA 235071910 (Tel: 7576687878)

👤
Provider Name / Credentials Updated January 04, 2016

Recorded as SHANNON GILMAN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2016

Nurse Practitioner (License #0024172592 in VA)

🟢
Initial NPI Registration & Enumeration January 04, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023474251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2016
Last Update: June 19, 2025
Sole Proprietor: No

Mailing Address

601 Childrens Ln

Norfolk, VA 235071910

Phone: 7576687878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.