Active NPI
Isabella N Smiley, ATC
- Athletic Trainer
- Soso, MS
National Provider Identifier
1528601481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 814 Soso Big Creek Rd
Soso, MS 39480-5025 - Phone
- (601) 319-2236
- NPI assigned
- Oct 23, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | MS | Primary |
Addresses
Primary practice location
814 Soso Big Creek Rd
Soso, MS 39480-5025
Mailing address
814 Soso Big Creek Rd
Soso, MS 39480-5025
Phone (601) 319-2236
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1528601481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SOSO BIG CREEK RD",
"city": "SOSO",
"state": "MS",
"postal_code": "394805025",
"telephone_number": "601-319-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SOSO BIG CREEK RD",
"city": "SOSO",
"state": "MS",
"postal_code": "394805025",
"telephone_number": "601-319-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "ISABELLA",
"middle_name": "N",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soso, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.