Active NPI
Jane Lermont Smallwood, N.P.
- Nurse Practitioner
- Traverse City, MI
National Provider Identifier
1992790554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704168966
- Practice address
- 1200 6TH St Ste 200
Traverse City, MI 49684-2369 - Phone
- (231) 935-5800
- Fax
- (231) 935-5799
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704168966 | MI | Primary |
Addresses
Primary practice location
1200 6TH St Ste 200
Traverse City, MI 49684-2369
Mailing address
2891 Momentum PL
Chicago, IL 60689-5328
Phone (231) 935-6080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4189092 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians-Michigan, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Michigan, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Michigan PLLC | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Current | Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients | |
| Grand Traverse Heart Institute | Past | Accepting new patients |
Locations
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1013180181
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
Nurse Practitioner
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1033370283
-
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
-
- Clinic/Center
- Traverse City, MI
- NPI 1801881461
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992790554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2891 MOMENTUM PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895328",
"telephone_number": "231-935-6080",
"fax_number": "231-935-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 6TH ST STE 200",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842369",
"telephone_number": "231-935-5800",
"fax_number": "231-935-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "JANE",
"middle_name": "LERMONT",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704168966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4189092",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.