Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shabori Shanae Smith

Individual provider Nurse Practitioner · NPI 1053160747

Shabori Shanae Smith is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
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Practice location Address checks out

11125 Dunn Rd Ste 406
Saint Louis, MO 63136-6132
Phone: (314) 653-5484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11155 Dunn Rd Ste 406, Saint Louis, MO 63136-6150 — (314) 653-5484

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2024014462 (MO)

Record details

NPI number1053160747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Saint Louis