KAILI MICHELLE SMALLEY
NPI 1104422336
Student in an Organized Health Care Education/Training Program in Star, ID

Active since December 11, 2020
12222 W BRIDGER BAY DR, STAR, ID 83669(208) 391-2773 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaili Michelle Smalley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAILI MICHELLE SMALLEY (NPI 1104422336) is an individual student in an organized health care education/training program in Star, Idaho and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1104422336
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAILI MICHELLE SMALLEY
Location Address12222 W BRIDGER BAY DRStar, ID 83669-5081
Mailing Address133 N Robinson BlvdNampa, ID 83687-8617 · (208) 249-7597
Sole ProprietorYes
Enumeration DateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
NPI 1104422336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12222 W BRIDGER BAY DR, Star, ID 83669

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
12222 W BRIDGER BAY DR
STAR, ID 83669
Speech-Language Pathologist
12222 W BRIDGER BAY DR
STAR, ID 83669
Occupational Therapist
12222 W BRIDGER BAY DR
STAR, ID 83669
Speech-Language Pathologist
12222 W BRIDGER BAY DR
STAR, ID 83669
Speech-Language Pathologist
12222 W BRIDGER BAY DR
STAR, ID 83669
Speech-Language Pathologist
12222 W BRIDGER BAY DR
STAR, ID 83669
Occupational Therapist
12222 W BRIDGER BAY DR
STAR, ID 83669
Occupational Therapy Assistant
12222 W BRIDGER BAY DR
STAR, ID 83669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaili Smalley's NPI number?

The NPI number for Kaili Smalley is 1104422336. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Kaili Smalley located?

Kaili Smalley practices at 12222 W Bridger Bay Dr, Star, ID 83669. The listed phone number is (208) 391-2773.

What is Kaili Smalley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kaili Smalley was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.