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SHANNON L. SMITH-STEPHENS, DNP, APRN-BC, PLLC

Company Details

Name: SHANNON L. SMITH-STEPHENS, DNP, APRN-BC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Apr 2019 (6 years ago)
Organization Date: 10 Apr 2019 (6 years ago)
Last Annual Report: 10 Jul 2024 (a year ago)
Managed By: Members
Organization Number: 1054917
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41164
City: Olive Hill, Lawton, Stark, Upper Tygart, Wolf
Primary County: Carter County
Principal Office: 6920B GRAHN ROAD, OLIVE HILLS, KY 41164
Place of Formation: KENTUCKY

Organizer

Name Role
SHANNON L SMITH-STEPHENS Organizer

Registered Agent

Name Role
SHANNON L. SMITH-STEPHENS Registered Agent

Member

Name Role
Shannon L Smith-Stephens Member

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
F6A4YANJ57N5
CAGE Code:
8HLH0
UEI Expiration Date:
2021-02-24

Business Information

Activation Date:
2020-03-11
Initial Registration Date:
2020-02-25

National Provider Identifier

NPI Number:
1225695851
Certification Date:
2021-07-12

Authorized Person:

Name:
DR. SHANNON LEIGH SMITH-STEPHENS
Role:
PROVIDER/SUPPLIER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6065485019

Assumed Names

Name Status Expiration Date
THE ART OF AGING AESTHETICS Active 2026-05-06

Filings

Name File Date
Annual Report 2024-07-10
Annual Report 2023-08-25
Annual Report 2022-07-06
Certificate of Assumed Name 2021-05-06
Annual Report 2021-04-13

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2024-07-03 2025 Justice & Public Safety Cabinet Department Of Juvenile Justice Pro Contract (Inc Per Serv) Medical/Dental Serv-1099 Rept 9618
Executive 2023-09-21 2024 Justice & Public Safety Cabinet Department Of Juvenile Justice Pro Contract (Inc Per Serv) Medical/Dental Serv-1099 Rept 5100
Executive 2023-09-08 2024 Justice & Public Safety Cabinet Department Of Juvenile Justice Pro Contract (Inc Per Serv) Medical/Dental Serv-1099 Rept 6342
Executive 2023-08-25 2024 Justice & Public Safety Cabinet Department Of Juvenile Justice Pro Contract (Inc Per Serv) Medical/Dental Serv-1099 Rept 6700
Executive 2023-08-03 2024 Justice & Public Safety Cabinet Department Of Juvenile Justice Pro Contract (Inc Per Serv) Medical/Dental Serv-1099 Rept 7091

Sources: Kentucky Secretary of State