IndividualActive
Shaun Smith
NPI 1639207426 · Nursing Home Administrator · Lewisburg, PA
Provider details
- NPI number
- 1639207426
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- OC002690L (PA)
Specialties & taxonomies
Nursing Service Related Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 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
100% 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
90 Maplewood Dr
Lewisburg, PA 17837-6307
Phone: (570) 523-2941
Street-level locationGet directions
Mailing address
1122 Campbell St
Williamsport, PA 17701-3025
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.