MICHAEL SMALLEY (NPI# 1831591676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831591676 |
| Entity Type | Individual |
| Full Name | MICHAEL SMALLEY |
| Practice Address |
217 W Ira Ct Andover KS 67002-9469 |
| Mailing Address |
520 E Augusta Ave Augusta KS 67010-2100 |
| Practice Telephone | 3167335047 |
| Practice Fax Number | 3167335060 |
| Mailing Telephone | 3167755491 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609298421 | Michael Smalley | Licensed Practical Nurse | 1296 Agvik Street, Barrow, AK 99723-0029 | 2014-01-14 |
| 1730212804 | Michael Thomas Smalley | Licensed Vocational Nurse | Weed Army Community Hospital, Bldg 166, Fort Irwin, CA 92310 | 2007-03-14 |
| Street Address |
217 W IRA CT |
| City | ANDOVER |
| State | KS |
| Zip Code | 67002-9469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376585398 | Iris Michael Pauly | Counselor | 217 W Ira Ct, Andover, KS 67002-9469 | 2006-06-12 |
| 1598377079 | Jared Samuel Ohm | Psychologist | 217 W Ira Ct, Andover, KS 67002-9469 | 2020-08-17 |
| 1407404486 | Sarah Blosser | Registered Nurse | 217 W Ira Ct, Andover, KS 67002-9469 | 2019-09-03 |
| 1104381284 | Jill Roberts | Psychologist | 217 W Ira Ct, Andover, KS 67002-9469 | 2019-02-04 |
| 1568943256 | Darci Elizabeth Klein | Psychologist | 217 W Ira Ct, Andover, KS 67002-9469 | 2018-08-22 |
| 1982057162 | Jessica Theis | Counselor | 217 W Ira Ct, Andover, KS 67002-9469 | 2016-07-22 |
| 1467814368 | Sharissa Masumbu | Case Manager/Care Coordinator | 217 W Ira Ct, Andover, KS 67002-9469 | 2016-03-22 |
| 1932564515 | Leslie Linneman | Social Worker | 217 W Ira Ct, Andover, KS 67002-9469 | 2015-12-23 |
| 1841675717 | Lasheena Barnes | Psychologist | 217 W Ira Ct, Andover, KS 67002-9469 | 2015-07-21 |
| 1740688969 | Jennifer Knaak | Case Manager/Care Coordinator | 217 W Ira Ct, Andover, KS 67002-9469 | 2014-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262707 | Rachel Marie Porter | Nurse Practitioner | Andover Family Medicine, 2117 N Keystone Circle, Andover, KS 67002 | 2020-07-13 |
| 1033535695 | Michael L Ray | Chiropractor | 1145 N Andover Rd Ste 109, Andover, KS 67002 | 2014-03-06 |
| 1225372949 | Lisa Hua Lee | Physical Therapy Assistant | 811 N Crescent Lakes Cir, Andover, KS 67002 | 2012-11-19 |
| 1689992752 | Andover Senior Care, LLC | Skilled Nursing Facility | 224 E Central Ave, Andover, KS 67002 | 2010-05-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1205929957 | Sitha Uy Miller | Internal Medicine | 943 N. Andover Road, Andover, KS 67002 | 2006-10-02 |
| 1275644650 | Shala Renee Holman | Physician Assistant | 1124 W. 21st Street, Andover, KS 67002 | 2006-08-31 |
| 1497869168 | Allan Michael Weilert | Chiropractor | 202 E Rhondda St, Ste A, Andover, KS 67002 | 2006-08-18 |
| 1407872708 | Lindsay Marie Landers | Family Medicine | 105 S Andover Rd, Suite D, Andover, KS 67002 | 2006-07-14 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508380718 | Martha Irene Piesik | Case Manager/Care Coordinator | 48 Red Spring Rd, Andover, MA 01810-3437 | 2017-07-29 |
| 1447635057 | Shawn Wetschensky | Case Manager/Care Coordinator | 210 W Ira Ct, Andover, KS 67002-9469 | 2015-07-24 |
| 1467814368 | Sharissa Masumbu | Case Manager/Care Coordinator | 217 W Ira Ct, Andover, KS 67002-9469 | 2016-03-22 |
| 1740688969 | Jennifer Knaak | Case Manager/Care Coordinator | 217 W Ira Ct, Andover, KS 67002-9469 | 2014-12-22 |
| 1679995211 | Debra Garcia | Case Manager/Care Coordinator | 217 W Ira Ct, Andover, KS 67002-9469 | 2014-01-16 |
| 1619255734 | Jena J Prichard | Case Manager/Care Coordinator | 217 W Ira Ct, Andover, KS 67002-9469 | 2011-07-22 |
| 1386829869 | Amanda Baker | Case Manager/Care Coordinator | 32 Osgood St, Andover, MA 01810-5411 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380135 | Amanda Lee Sachen | Case Manager/Care Coordinator | 423 N Thompson St, Kansas City, KS 66101-2935 | 2019-11-15 |
| 1437709318 | Kathleen Megan Sylvester | Case Manager/Care Coordinator | 5402 Skyline Dr, Roeland Park, KS 66205-1168 | 2019-09-12 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669945176 | Gemini Life Enrichment Services | Case Manager/Care Coordinator | 224 S 1st St, Lindsborg, KS 67456-2604 | 2019-01-07 |
| 1336612290 | Above The Spectrum LLC | Case Manager/Care Coordinator | 510 Country Club Dr, Beloit, KS 67420-2667 | 2019-01-03 |
| 1326519935 | Philip Aaron Plume | Case Manager/Care Coordinator | 5500 E Kellogg Dr Bldg 5, Wichita, KS 67218-1607 | 2018-12-07 |
| 1235634528 | Christopher Lee Roberts | Case Manager/Care Coordinator | 160 W Shawnee St, Gardner, KS 66030-1174 | 2018-03-28 |
| 1467954479 | Tonya E Harge | Case Manager/Care Coordinator | 3540 N Inwood St Apt 11201, Wichita, KS 67226-7814 | 2018-03-06 |
| 1285142380 | Shelley Rene Harper | Case Manager/Care Coordinator | 2205 Cr 4300, Coffeyville, KS 67337-5700 | 2018-01-11 |
| 1518476316 | Amanda Jo Wilson | Case Manager/Care Coordinator | 1106 W 2nd St, Coffeyville, KS 67337-3816 | 2017-09-25 |
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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.