Carrie Lynn Smalley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4135 Issued in AZ

Practice address

42505 N 9TH Ave
Phoenix, AZ 85086

Phone

(602) 550-0309

Fax

(602) 532-7582

NPI assigned

Jul 26, 2011

Last updated

May 23, 2018By 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1346528288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42505 N 9TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850867122",
            "telephone_number": "602-550-0309",
            "fax_number": "602-532-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42505 N 9TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "602-550-0309",
            "fax_number": "602-532-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10240 W Indian School Rd",
            "address_2": "Suite 155",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375904",
            "country_code": "US",
            "telephone_number": "623-385-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessyca Ann Small, RN
• Leigh Small, PHD, RN, CPNP-PC
• Randi Su Small, PTA
• Renee Small
• Anthony Smallcanyon, NP
• Shannon Hillman Smalley, DO
• Erin Nicole Smallmon, DO
• Rachel S Smallwood, PHARMD
• Christina Marie Smarik Snyder, MD
• Smart Brain Aging Inc

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.