Individual provider Active NPI

Charlotte A. Smalley, APRN, BC

  • Women's Health Nurse Practitioner
  • Hixson, TN
National Provider Identifier
1700978533
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN040411 Issued in TN
Practice address
4843 Hixson Pike Ste C
Hixson, TN 37343-4478
Phone
(423) 870-3700
Fax
(423) 877-3289
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN040411 TN Primary

Addresses

Primary practice location

4843 Hixson Pike Ste C
Hixson, TN 37343-4478

Mailing address

1751 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421-7162
Phone (423) 697-7843

Other identifiers 1

IdentifierTypeStateIssuer
RN040411OtherTNSTATE LICENSE

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5303TNMDSpeech-Language Pathologist
RN040411TNMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700978533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 GUNBARREL RD",
            "address_2": "STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217162",
            "telephone_number": "423-697-7843",
            "fax_number": "423-697-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 HIXSON PIKE STE C",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434478",
            "telephone_number": "423-870-3700",
            "fax_number": "423-877-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "CHARLOTTE",
        "middle_name": "A.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "RN040411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN040411",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.