Individual provider Active NPI

Paulette M Smalling, ARNP

  • Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1457378440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1102412 Issued in FL
Practice address
9750 NW 33Rd St
214
Coral Springs, FL 33065-4042
Phone
(954) 510-8200
Fax
(954) 510-0474
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1102412 FL Primary

Addresses

Primary practice location

9750 NW 33Rd St
214
Coral Springs, FL 33065-4042

Mailing address

10421 Buenos Aires St
Hollywood, FL 33026-4566
Phone (954) 801-6856

Other identifiers 1

IdentifierTypeStateIssuer
ARNP1102412OtherFLARNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220000484 FL Order and Referring Only - Nurse Practitioner 7618924523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP1102412FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Care Pluc Inc Past Accepting new patients
Physicians Care Plus Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457378440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 BUENOS AIRES ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264566",
            "telephone_number": "954-801-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST",
            "address_2": "214",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654042",
            "telephone_number": "954-510-8200",
            "fax_number": "954-510-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLING",
        "first_name": "PAULETTE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1102412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "ARNP1102412",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.