STANLEY FARRELL SMALLWOOD (NPI# 1447423009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447423009 |
| Entity Type | Individual |
| Full Name | STANLEY FARRELL SMALLWOOD |
| Credential | CRNP-APRN-BC |
| Practice Address |
20104 Swanner Blvd Suite 4 Tanner AL 35671 |
| Mailing Address |
20104 Swanner Blvd Suite 4 Tanner AL 35671-3651 |
| Practice Telephone | 2566863334 |
| Practice Fax Number | 2566863339 |
| Mailing Telephone | 2566863334 |
| Mailing Fax Number | 2566863339 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-088147 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20104 SWANNER BLVD SUITE 4 |
| City | TANNER |
| State | AL |
| Zip Code | 35671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801135538 | Meredith Clark Belew | Nurse Practitioner | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 | 2013-01-31 |
| 1376881870 | Tanner Medical Clinic LLC | Family Medicine | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 | 2013-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098681 | Fhl Group Home,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12218 Spring Rd, Tanner, AL 35671-3214 | 2019-11-22 |
| 1619443090 | Traci Mclin | Specialist | 10203 Lucas Ferry Rd Ste B, Tanner, AL 35671-3406 | 2018-10-23 |
| 1588690481 | Tracy L Pool | Emergency Medicine | 20250 Capitol Hill Dr, Tanner, AL 35671-3638 | 2006-06-23 |
| 1366555013 | Tammy V Garrett | Pharmacist | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2006-08-16 |
| 1992280366 | Tammy V Garrett | Pharmacist | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2018-10-01 |
| 1548544752 | Southside Pharmacy Inc | Pharmacy | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2011-10-06 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801135538 | Meredith Clark Belew | Nurse Practitioner | 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651 | 2013-01-31 |
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|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.