Individual provider Active NPI

Ann Faye Smalley, APRN

  • Plastic Surgery Physician
  • St. Petersburg, FL
National Provider Identifier
1952055071
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
11016048 Issued in FL
Practice address
1116 Dr M.L.K. Jr St N
St. Petersburg, FL 33705
Phone
(727) 895-1515
Fax
(727) 895-1511
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 11016048 FL Primary

Addresses

Primary practice location

1116 Dr M.L.K. Jr St N
St. Petersburg, FL 33705

Mailing address

1116 Dr M.L.K. Jr St N
St. Petersburg, FL 33705
Phone (727) 895-1515

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.gayosoplasticsurgery.com/

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

LicenseStateTypeSpecialty
11016048FLMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1952055071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 DR M.L.K. JR ST N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-895-1515",
            "fax_number": "727-895-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 DR M.L.K. JR ST N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-895-1515",
            "fax_number": "727-895-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "ANN",
        "middle_name": "FAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "11016048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.gayosoplasticsurgery.com/",
            "affiliation": "N",
            "address_1": "1116 Dr M.L.K. Jr St N",
            "city": "St. Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.