P Praxis·MD
● Active Type 1 · Individual

Kaili Michelle Smalley

Student in an Organized Health Care Education/Training Program·Star, ID· NPI 1104422336 · Enumerated 2020 · 5 years on NPI
Smalley is 1 of 1 student in an organized health care education/training program providers in Star and 1 of 516 in Idaho.
NPI age
5 years
Enumerated 2020-12-11
Primary specialty
Student in an Organized Health Care Education/Training Program
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-12-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 516 active student in an organized health care education/training program providers in Idaho.

NPI age
5 years
↑ 4 yr above median (1 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-12Enumerated in NPPES
2020 2026

Where they practice

Practice location
12222 W Bridger Bay Dr
Star, ID 836695081
📞 2083912773
Mailing address
133 N Robinson Blvd
Nampa, ID 836878617
📞 2082497597

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    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.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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