NPivot
Loretta Smith is one of 24 physician assistants practicing in San Angelo, Texas .
Loretta Smith practices with Shannon Clinic.
Registry record (NPPES)
NPI
1639141971
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
2237 S Jackson St San Angelo, TX 76904-5131 (325) 747-2292
Enumerated
Feb 2, 2006
Record last updated
Jul 21, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
120 E Beauregard Ave
San Angelo , TX 76903
(325) 747-1511
120 E Harris Ave
San Angelo , TX 76903
(325) 747-6741
More physician assistants in San Angelo
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.