JENNIFER A SMALL (NPI# 1336372721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336372721 |
| Entity Type | Individual |
| Full Name | JENNIFER A SMALL |
| Other Name | JENNIFER A HOGAN |
| Credential | CPO |
| Practice Address |
1401 W Magnolia Ave Fort Worth TX 76104-4250 |
| Practice Telephone | 8179232101 |
| Mailing Telephone | 8179232101 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 1324 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 1324 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053410183 | Jennifer Rebecca Small | Optometrist | 2237 Saranac Ave, Lake Placid, NY 12946-1185 | 2006-09-22 |
| 1902405194 | Jennifer Lyn Small | Occupational Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-10-20 |
| 1659912186 | Jennifer Marie Small | Nurse Practitioner | 1405 E Greenville St, Anderson, SC 29621-2049 | 2019-10-07 |
| 1427514017 | Jennifer Small | Counselor | 22110 Roscoe Blvd Ste 204, Canoga Park, CA 91304-3862 | 2019-02-19 |
| 1619441748 | Jennifer W Small | Nurse Practitioner | 5916 174th St, Fresh Meadows, NY 11365-1539 | 2019-01-11 |
| 1154814291 | Jennifer Anne Small | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2018-06-13 |
| 1285978106 | Jennifer Sue Small | Nurse Practitioner | 9715 Medical Center Dr, #501, Rockville, MD 20850-3320 | 2012-11-15 |
| 1699020826 | Jennifer Marie Small | Social Worker | 551 Cincinnati Batavia Pike, Cincinnati, OH 45244-1518 | 2012-07-13 |
| 1023281102 | Jennifer Lynn Small | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2008-04-09 |
| 1609045525 | Jennifer Woodard Small | Physical Therapist | 20098 Ashbrook Pl, Suite 190, Ashburn, VA 20147-3393 | 2008-02-25 |
| Street Address |
1401 W MAGNOLIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154495034 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2006-11-20 |
| 1194958595 | Anna E Vasquez | Orthotist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-09-01 |
| 1518190909 | James J Small | Orthotist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-09-01 |
| 1366675761 | Liberty B Wethington | Prosthetist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-09-01 |
| 1043443641 | Brenda F North | Orthotic Fitter | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-08-28 |
| 1770716375 | Gordon E North | Prosthetist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-08-28 |
| 1003047275 | Jared B Bateman | Orthotist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-08-05 |
| 1346487311 | Mark W Ashford | Orthotist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801454566 | Winnie Robateau | Prosthetist | 1308 Soaptree Ln, Fort Worth, TX 76177-7225 | 2019-05-29 |
| 1770842551 | Cook Childrens Home Health | Prosthetist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2012-05-14 |
| 1366675761 | Liberty B Wethington | Prosthetist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-09-01 |
| 1770716375 | Gordon E North | Prosthetist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1952911984 | Aisha Mathis | Prosthetist | 3405 Midway Rd Ste 420, Plano, TX 75093-8144 | 2020-08-04 |
| 1568083897 | Shawana Duncantel | Prosthetist | 4700 Trimmier Rd Ste F, Killeen, TX 76542-5870 | 2020-04-28 |
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1003447764 | Capital Prosthetics & Orthotics, LLC | Prosthetist | 4125 Old Denton Rd, Carrollton, TX 75010-2309 | 2020-01-31 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1427696145 | M D Prosthetics | Prosthetist | 2000 Crawford St Ste 1122, Houston, TX 77002-9065 | 2019-12-12 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.