Organization Active NPI

Sleepsmith Staffing LLC

  • Certified Registered Nurse Anesthetist
  • Flint, MI
National Provider Identifier
1114463379
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704276359 Issued in MI
Legal business name
SLEEPSMITH STAFFING LLC
Practice address
1914 Miller Rd
Flint, MI 48503-4723
Phone
(248) 894-8467
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Alan Smith Gerald Smith
Title
Owner
Phone
(248) 894-8467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4704276359 MI Primary

Addresses

Primary practice location

1914 Miller Rd
Flint, MI 48503-4723

Mailing address

1914 Miller Rd
Flint, MI 48503-4723
Phone (248) 894-8467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170126001573 MI Part B Supplier - Clinic/Group Practice 8325320369 Receives reassigned benefits from 19 practitioners
Practice locations: Boyne City, MI; Iron Mountain, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1114463379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034723",
            "telephone_number": "248-894-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034723",
            "telephone_number": "248-894-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPSMITH STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALAN SMITH",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-894-8467"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704276359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.