MR. MICHAEL THOMAS SMALLEY (NPI# 1730212804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730212804 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL THOMAS SMALLEY |
| Credential | LVN |
| Practice Address |
Weed Army Community Hospital Bldg 166 Fort Irwin CA 92310 |
| Mailing Address |
25862 Jasper Rd Apt 21 Barstow CA 92311-7203 |
| Practice Telephone | 7603807391 |
| Mailing Telephone | 9099040079 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 207511 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSED VOCATIONAL NURSE | 207511 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831591676 | Michael Smalley | Case Manager/Care Coordinator | 217 W Ira Ct, Andover, KS 67002-9469 | 2014-09-24 |
| 1609298421 | Michael Smalley | Licensed Practical Nurse | 1296 Agvik Street, Barrow, AK 99723-0029 | 2014-01-14 |
| Street Address |
WEED ARMY COMMUNITY HOSPITAL BLDG 166 |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770546459 | Hope Marie Williamson | Nurse Practitioner | Weed Army Community Hospital, Bldg 166, 3rd Street, Fort Irwin, CA 92310 | 2006-04-11 |
| 1013320779 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Weed Army Community Hospital, Mary E. Walker Centerbldg. 170 Rm. 400, Fort Irwin, CA 92310-5109 | 2014-06-10 |
| 1811262884 | Edward Wang | General Practice | Weed Army Community Hospital, 390 North Loop Road, Fort Irwin, CA 92310 | 2012-03-09 |
| 1851685135 | Deanne Elizabeth Grayson | Psychiatry & Neurology | Weed Army Community Hospital, Bldg 390 Outer Loop, Fort Irwin, CA 92310 | 2011-06-05 |
| 1518088426 | Holly Joan Berens | Licensed Practical Nurse | Weed Army Community Hospital, Bldg 166, Fort Irwin, CA 92310 | 2007-04-02 |
| 1609911908 | Doris Marie Wolfe-bohannon | Registered Nurse | Weed Army Community Hospital, Building 170, Fort Irwin, CA 92310-0198 | 2007-02-21 |
| 1588730444 | Richard Alfred Behr | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-11-24 |
| 1255356416 | Us Army Nursing Corp | Medicare Defined Swing Bed Unit | Weed Army Community Hospital, Fort Irwin, CA 92310-5109 | 2006-07-12 |
| 1881642387 | Patrick Brian Polk | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-05-05 |
| 1013965417 | Katrina Dawn Beck | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336197862 | Sonja Christine Morales | Licensed Vocational Nurse | 4th Street Bldg 166, Fort Irwin, CA 92310 | 2006-05-05 |
| 1821046988 | Claudia C Koss | Licensed Vocational Nurse | 11 Bldg 170, Fort Irwin, CA 92310-2717 | 2006-05-04 |
| 1811945975 | Kathryn Elaine Wright | Licensed Vocational Nurse | 170 Inner Loop Rd, Fort Irwin, CA 92310 | 2006-05-04 |
| 1467400465 | Andrea Michelle Davenport | Licensed Vocational Nurse | Bldg 170 Inner Loop, Room 300, Fort Irwin, CA 92310 | 2006-05-04 |
| 1073561015 | Floyd K Bailey | Licensed Vocational Nurse | Bldg 166 4th Streeth and Inner Loop Rd, Fort Irwin, CA 92310 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931846 | Deanna Barfield | Licensed Vocational Nurse | 9633 Laurel St, Bellflower, CA 90706-5318 | 2020-10-31 |
| 1710587639 | Steven Wheeler Knight Thomspon | Licensed Vocational Nurse | 10960 Poppy Field Cir, Moreno Valley, CA 92557-3912 | 2020-10-29 |
| 1942800982 | Michelle Marie Toman | Licensed Vocational Nurse | 900 Weber Cir Apt 105, Ventura, CA 93003-8248 | 2020-10-29 |
| 1326647876 | Valeria Brinkers | Licensed Vocational Nurse | 1225 Calle Fantasia, San Marcos, CA 92069-7353 | 2020-10-25 |
| 1417556374 | Rainville Love Dela Salde | Licensed Vocational Nurse | 1300 Adams Ave Apt 12a, Costa Mesa, CA 92626-8315 | 2020-10-21 |
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1689273674 | To Yen Ruby Ngo | Licensed Vocational Nurse | 10501 Valley Blvd Ste 1200, El Monte, CA 91731-3617 | 2020-10-21 |
| 1699374991 | Patricia Ann Perkins | Licensed Vocational Nurse | 3210 Madera Pl, Oxnard, CA 93033-5756 | 2020-10-19 |
| 1003415308 | Veronica Esparza | Licensed Vocational Nurse | 315 E Ventura St Apt 6, Santa Paula, CA 93060-3824 | 2020-10-19 |
| 1649878166 | Crystal Shin | Licensed Vocational Nurse | 3785 Wilshire Blvd Apt 1804, Los Angeles, CA 90010-2893 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
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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.