Active NPI
Shaye Analee Smallwood, ATC
- Athletic Trainer
- Birmingham, AL
National Provider Identifier
1740407790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 641
- Practice address
- 5476 Caldwell Mill Rd
Birmingham, AL 35242-4520 - Phone
- (205) 682-5200
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 641 | AL | Primary |
Addresses
Primary practice location
5476 Caldwell Mill Rd
Birmingham, AL 35242-4520
Mailing address
229 Reach Way
Birmingham, AL 35242-8617
Phone (205) 368-0155
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 641 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740407790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 REACH WAY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352428617",
"telephone_number": "205-368-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5476 CALDWELL MILL RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352424520",
"telephone_number": "205-682-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "SHAYE",
"middle_name": "ANALEE",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.