Active NPI
Amy Smallfield, MS, ATC, RN
- Athletic Trainer
- Watertown, SD
National Provider Identifier
1770638751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0147
- Practice address
- 200 9TH St NE
Watertown, SD 57201-2863 - Phone
- (605) 881-4264
- Fax
- (605) 882-5288
- NPI assigned
- Jan 23, 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 | 0147 | SD | Primary |
Addresses
Primary practice location
200 9TH St NE
Watertown, SD 57201-2863
Mailing address
1120 Mayfair Dr
Watertown, SD 57201-1444
Phone (605) 886-8489
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
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0147 | SD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770638751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 MAYFAIR DR",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011444",
"telephone_number": "605-886-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 9TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572012863",
"telephone_number": "605-881-4264",
"fax_number": "605-882-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLFIELD",
"first_name": "AMY",
"credential": "MS, ATC, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SD",
"license": "0147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
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.