Kimberly Nokole Smallwood, REGISTERED NURSE
NPI 1710769971ActiveIndividual· Registered Nurse, General Practice· River Rouge, MI
Registered Nurse, General Practice (REGISTERED NURSE) in River Rouge, Michigan, licensed in MI, with an NPI issued in October 2023.
Overview
| NPI | 1710769971 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED NURSE |
| Sole proprietor | Yes |
| NPI issued | Oct 20, 2023 |
| Last updated in NPPES | Oct 20, 2023 |
| Certified by provider | Oct 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | 4704373175 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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