Elizabeth Smallwood

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

5298746 Issued in MI

Practice address

630 Highland Ave
Toledo, OH 43610-1142

Phone

(248) 854-4284

NPI assigned

Apr 30, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1780431676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HIGHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43610",
            "telephone_number": "248-854-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HIGHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436101142",
            "telephone_number": "248-854-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "5298746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5298746",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Antoine Small
• Jesse Small
• John M. Small, L.I.S.W.
• Angela Marie Smalley
• Jody Lee Clair Smalley, LISW
• Joslynn Smallwood
• Thomas Edward Smallwood, M.D.,CMD
• Rhonda Sue Smatlak, LPC
• Kyle Smay, MSA
• SMB Seven of Many Blessings LLC

• Home Health Registered Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.