Active NPI
Karen Small, CNM
- Advanced Practice Midwife
- Kalamazoo, MI
National Provider Identifier
1124248943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704126513
- Practice address
- 601 John Street
Suite N1200
Kalamazoo, MI 49007-5341 - Phone
- (269) 341-7979
- Fax
- (269) 341-6261
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704126513 | MI | Primary |
Addresses
Primary practice location
601 John Street
Suite N1200
Kalamazoo, MI 49007-5341
Mailing address
Box 42
601 John Street
Kalamazoo, MI 49007-5341
Phone (269) 341-7806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5194936 | Medicaid | MI |
Other names 1
- Karen Homfeldt Archer
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704126513 | MI | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1124248943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 42",
"address_2": "601 JOHN STREET",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-7806",
"fax_number": "269-341-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN STREET",
"address_2": "SUITE N1200",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-7979",
"fax_number": "269-341-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "KAREN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704126513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5194936",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "HOMFELDT ARCHER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.