Active NPI
Savonna Ashley Smalls
- Nurse's Aide
- Bellevue, WA
National Provider Identifier
1326748732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 61222295
- Practice address
- 121 112TH Ave NE
Bellevue, WA 98004-5807 - Phone
- (425) 999-4510
- NPI assigned
- Mar 6, 2023
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 61222295 | WA | Primary |
Addresses
Primary practice location
121 112TH Ave NE
Bellevue, WA 98004-5807
Mailing address
121 112TH Ave NE
Bellevue, WA 98004-5807
Phone (425) 999-4510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61222295 | Other | WA | NONE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61222295 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1326748732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 112TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045807",
"telephone_number": "425-999-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 112TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045807",
"telephone_number": "425-999-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLS",
"first_name": "SAVONNA",
"middle_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "61222295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "61222295",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.