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

Shasta Latisha Smith

Individual provider Home Health Registered Nurse · NPI 1386596930

Shasta Latisha Smith is a Home Health Registered Nurse in Clinton Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

37469 Charter Oaks Blvd
Clinton Twp, MI 48036-2415
Phone: (313) 247-2707
Fax: (313) 247-2707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 4704405379 (MI)

Record details

NPI number1386596930
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address37469 Charter Oaks Blvd, Clinton Twp, MI 48036-2415

Other providers in Clinton Twp