Kisha Dianne Smaw, BACHELORS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

731680 Issued in AK

Practice address

1550 E 74TH Ave
Anchorage, AK 99507

Phone

(907) 929-5826

Fax

(907) 929-5862

NPI assigned

Jan 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hearts and Hands of Care Inc

  • In Home Supportive Care Agency
  • Anchorage, AK
  • NPI 1215158779
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1629254917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E 74TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507",
            "telephone_number": "907-929-5826",
            "fax_number": "907-929-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E 74TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507",
            "telephone_number": "907-929-5826",
            "fax_number": "907-929-5862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44661 Sterling Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697900",
            "country_code": "US",
            "telephone_number": "907-420-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Seward Meridian Pkwy # ABC",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548312",
            "country_code": "US",
            "telephone_number": "907-631-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMAW",
        "first_name": "KISHA",
        "middle_name": "DIANNE",
        "credential": "BACHELORS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "731680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM5542",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina M Smalley, PA
• Jacquelyn J Smallwood, LPN
• Smart Care
• Keirsten Smart
• Kelley Leanne Smart, LCSW
• Mark Francis Smedley, ED.D.
• Luz M Smeenk, M.S., R.D.
• Suzanne Marie Smerjac, PA-C
• Smiles Dental Alaska, LLC (Smiles Dental Alaska)
• Smiles Dental Group, PC

• Case Manager/Care Coordinator in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.