Shade Smith, is a
Psychologist - School based in Tukwila, Washington. Shade Smith is licensed to practice in * (Not Available) (license number ) and current practice location is
13925 Interurban Ave S Ste 120, Tukwila, Washington. can be reached at office (for appointments etc.) via phone at
(206) 948-0096.
NPI number for Shade Smith is 1326920869 and current mailing address is 13925 Interurban Ave S Ste 120, Tukwila, Washington.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1326920869.
Healthcare Provider's Profile
| Full Name | Shade Smith |
|---|
| Gender | |
|---|
| Speciality | Psychologist - School |
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| Location | 13925 Interurban Ave S Ste 120, Tukwila, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326920869
- Provider Enumeration Date: 07/24/2025
- Last Update Date: 05/18/2026
Medical Identifiers
Medical identifiers for Shade Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326920869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shade Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shade Smith, 13925 Interurban Ave S Ste 120, Tukwila, WA 98168-5718 Ph: (220) 694-8009 | Shade Smith, 13925 Interurban Ave S Ste 120, Tukwila, WA 98168-5718 Ph: (206) 948-0096 |
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