Active NPI
Janet L Smalley, MD
- Emergency Medicine Physician
- Palmer, AK
National Provider Identifier
1811984867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1876
- Practice address
- 16750 E Huntley Rd
Palmer, AK 99645-8718 - Phone
- (907) 982-3012
- NPI assigned
- Oct 4, 2005
- Last updated
- Aug 8, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1876 | AK | Primary |
Addresses
Primary practice location
16750 E Huntley Rd
Palmer, AK 99645-8718
Mailing address
16750 E Huntley Rd
Palmer, AK 99645
Phone (907) 982-3012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD18762 | Medicaid | AK |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1876 | AK | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1811984867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16750 E HUNTLEY RD",
"city": "PALMER",
"state": "AK",
"postal_code": "99645",
"telephone_number": "907-982-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16750 E HUNTLEY RD",
"city": "PALMER",
"state": "AK",
"postal_code": "996458718",
"telephone_number": "907-982-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLEY",
"first_name": "JANET",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AK",
"license": "1876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD18762",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.