# MS. TARA SHANNON SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285608703
- **Gender:** F
- **Credential:** C.N.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 0001146963 | VA | — |
| 176B00000X | Midwife | 0024165986 | VA | Yes |
| 367A00000X | Advanced Practice Midwife | AC00911 | MD | — |

## Other

- **Enumeration date:** 02/13/2006
- **Last updated:** 02/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010061873 | — | VA |
| 05 | — | 010130484 | — | VA |
| 01 | — | 175079 | ANTHEM | VA |
| 01 | — | 2125746 | UHC/MAMSI | VA |
| 05 | — | 7002042 | — | NC |
| 01 | — | 75928N | SENTARA/OPTIMA | VA |