Kyle Ryan Smutny

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

612 4TH St
Orland, CA 95963-1345

Phone

(530) 865-1622

Fax

(530) 865-7073

NPI assigned

Sep 30, 2010

Sex

Male

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1689983199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 4TH ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631345",
            "telephone_number": "530-865-1622",
            "fax_number": "530-865-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 4TH ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631345",
            "telephone_number": "530-865-1622",
            "fax_number": "530-865-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUTNY",
        "first_name": "KYLE",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Scott Jr., CAMS-II, CDAAC, RASC
• Madison Rebecca Sealy
• Devon Sernik
• Miguel Serrato Ramirez
• Pamela Jeanne Smith, ASW
• Specialized Care Physical Therapy PC
• Erika Michelle Spencer
• Nicholas Sterzer, LCSW
• Wayne J.W. Syn, D.D.S.
• Courtney Rae Tamagni

• Case Manager/Care Coordinator in Orland, CA
• Providers in Orland, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.