MRS. JESSICA ANN SMALL (NPI# 1336481035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336481035 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ANN SMALL |
| Credential | RPH |
| Practice Address |
1220 Dewey Ave Wauwatosa WI 53213-2504 |
| Mailing Address |
7715 Livingston Ave Wauwatosa WI 53213-1123 |
| Practice Telephone | 4144546795 |
| Practice Fax Number | 4144546736 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1346140 | WI | Pharmacy Service Providers |
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
1346140 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447613716 | Jessica Small | Massage Therapist | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2016-04-03 |
| 1184027807 | Jessica Small | Licensed Practical Nurse | 107 B Fahm St, Savannah, GA 31401 | 2014-10-08 |
| 1497178883 | Jessica Small | Marriage & Family Therapist | 10955 Westmoor Dr, Westminster, CO 80021-2704 | 2014-01-21 |
| 1033540687 | Jessica Demerise Small | Counselor | 202 Exchange St, Bangor, ME 04401-6508 | 2013-12-09 |
| 1063675510 | Jessica Mehring Small | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2008-07-04 |
| 1699736587 | Jessica Small | Family Medicine | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2006-03-30 |
| Street Address |
1220 DEWEY AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083696736 | Ikar Jaksa Kalogjera | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2005-11-17 |
| 1407464118 | Geoffrey B Watters | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-07-20 |
| 1497381818 | Frances Clouse | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-03-17 |
| 1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
| 1952951402 | Christine D Schubring | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-09-17 |
| 1043864242 | Brooke E Muggenthaler | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-07-26 |
| 1225510001 | Reuel Kagamba Muiruri | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-29 |
| 1437638830 | Lori L Unger | Registered Nurse | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-07 |
| 1033697644 | Christine S Schultz | Social Worker | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-06 |
| 1205335957 | Ivana Spaciel | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719804 | Lauren M Splawn | Pharmacist | 8361 Portland Ave Uppr Unit, Wauwatosa, WI 53213-3017 | 2020-08-05 |
| 1811527476 | Sara Elizabeth Baker | Pharmacist | 1055 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-3436 | 2020-01-23 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1376944405 | Max Grider | Pharmacist | 6100 W State St Apt 518, Wauwatosa, WI 53213-4603 | 2014-09-08 |
| 1124391800 | Timothy Galinsky | Pharmacist | 2275a N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2012-02-11 |
| 1689951147 | Robert Leo Dohnal | Pharmacist | 11324 W Potter Rd, Wauwatosa, WI 53226-3407 | 2011-11-12 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| 1407136948 | Paul Schlondrop | Pharmacist | 2656 Wauwatosa Ave, Wauwatosa, WI 53213-1137 | 2011-08-27 |
| 1699374066 | Cassandra Leightner | Pharmacist | 201 N Mayfair Rd, Infusion Pharmacy - 1st Floor, Wauwatosa, WI 53226 | 2020-10-18 |
| 1013515758 | Demi Chae | Pharmacist | 2656 N Wauwatosa Ave, Wauwatosa, WI 53213-1137 | 2020-10-14 |
| Find all providers in WAUWATOSA | ||||
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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.