Active NPI
Katherine Lavan Smallwood, M.D.
- Internal Medicine Physician
- Richmond, VA
National Provider Identifier
1003866690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101035707
- Practice address
- 6900 Forest Ave
Suite 300
Richmond, VA 23230-1729 - Phone
- (804) 346-1515
- Fax
- (804) 270-2888
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101035707 | VA | Primary |
Addresses
Primary practice location
6900 Forest Ave
Suite 300
Richmond, VA 23230-1729
Mailing address
PO Box 28780
Richmond, VA 23228-8780
Phone (804) 346-1515
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539792 | Other | VA | AETNA NON-HMO |
| 116035 | Other | VA | ANTHEM BCBS |
| 10512 | Other | VA | CIGNA |
| 539798 | Other | VA | AETNA HMO |
| 416593 | Other | VA | SOUTHERN HEALTH |
| 0400327 | Other | VA | UNITED HEALTHCARE |
| 5817404 | Medicaid | VA | |
| 63545 | Other | VA | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035707 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354406400000",
"number": "1003866690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28780",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232288780",
"telephone_number": "804-346-1515",
"fax_number": "804-270-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 FOREST AVE",
"address_2": "SUITE 300",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301729",
"telephone_number": "804-346-1515",
"fax_number": "804-270-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "KATHERINE",
"middle_name": "LAVAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2012-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101035707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "539792",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "116035",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10512",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "539798",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "416593",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0400327",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5817404",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "63545",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.