CHARLOTTE A. SMALLEY (NPI# 1700978533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700978533 |
| Entity Type | Individual |
| Full Name | CHARLOTTE A. SMALLEY |
| Credential | APRN, BC |
| Practice Address |
4843 Hixson Pike Ste C Hixson TN 37343-4478 |
| Mailing Address |
1751 Gunbarrel Rd Ste 200 Chattanooga TN 37421-7162 |
| Practice Telephone | 4238703700 |
| Practice Fax Number | 4238773289 |
| Mailing Telephone | 4236977843 |
| Mailing Fax Number | 4236977564 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN040411 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE LICENSE | RN040411 | 01 |
| TN | DEA | MS0445076 | 01 |
| Street Address |
4843 HIXSON PIKE STE C |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790159317 | Flora Sophia Ziliak | Nurse Practitioner | 4843 Hixson Pike Ste C, Hixson, TN 37343 | 2015-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1073143756 | Tailar Murphy | Nurse Practitioner | 2004 Hayes St Ste 310, Nashville, TN 37203-2653 | 2020-01-22 |
| 1528616687 | Melanie Hall Morris | Nurse Practitioner | 1120 Arrowhead Dr, Brentwood, TN 37027-7475 | 2019-08-30 |
| 1053884833 | E. Lauren Mclean, Apn, LLC | Nurse Practitioner | 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167-6832 | 2019-01-04 |
| 1548719313 | Lauren Michelle Grude | Nurse Practitioner | 7106 Sugar Maple Dr, Fairview, TN 37062-9338 | 2016-09-22 |
| 1760852198 | Mitna Ngo | Nurse Practitioner | 2201 Murphy Ave Ste 308, Nashville, TN 37203-1960 | 2015-09-28 |
| 1720455629 | Catherine Jaynes Mukherji | Nurse Practitioner | 6 Castlewood Ct, Nashville, TN 37215-4617 | 2015-08-26 |
| 1740678986 | Melanie Sophia Krishnamurthy | Nurse Practitioner | 4323 Carothers Pkwy Ste 208, Franklin, TN 37067-5916 | 2014-12-22 |
| 1124441928 | Marsha Sanderson | Nurse Practitioner | 529 Williamsburg Dr, Atoka, TN 38004-7893 | 2014-01-29 |
| 1255696126 | Diary L. Prater | Nurse Practitioner | 4976 Gardenwood Dr, Memphis, TN 38116-7916 | 2012-07-06 |
| Find all providers with the same taxonomy | ||||
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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.