IndividualActive
Shannon Wassam
NPI 1356465033 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Smithton, MO
Provider details
- NPI number
- 1356465033
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
308 E Smith St
Smithton, MO 65350-1079
Phone: (660) 343-3681
Fax: (660) 343-5871
Street-level locationGet directions
Mailing address
Po Box 513
Smithton, MO 65350-0513
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2014-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.