Charlette A Small

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

212613 Issued in MT

Practice address

45 Cottonwood Way
Absarokee, MT 59001-6211

Phone

(406) 328-7448

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1104522796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COTTONWOOD WAY",
            "city": "ABSAROKEE",
            "state": "MT",
            "postal_code": "590016211",
            "telephone_number": "406-699-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 COTTONWOOD WAY",
            "city": "ABSAROKEE",
            "state": "MT",
            "postal_code": "590016211",
            "telephone_number": "406-328-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "CHARLETTE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "212613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Stillwater Ventures LLC
• Jayna Race, M.S. LCPC
• Rocky Mountain Physical Therapy LLC
• SCL Health Medical Group - Billings LLC (Absarokee Clinic - Family Medicine)
• Shipp Inc
• Sheri Spuhler, PA-C
• St. Vincent Healthcare (Absarokee Medical Center)
• Henry Banner Stokke, DDS
• Time for You Therapy
• Cheryl A Young-Pelton

• Family Medicine Physician in Absarokee, MT
• Providers in Absarokee, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.