KIMBERLY A SMALLWOOD (NPI# 1538670690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538670690 |
| Entity Type | Individual |
| Full Name | KIMBERLY A SMALLWOOD |
| Credential | APRN |
| Practice Address |
2617 S Elm Pl Broken Arrow OK 74012 |
| Mailing Address |
2617 S Elm Pl Broken Arrow OK 74012-7850 |
| Practice Telephone | 9184554541 |
| Practice Fax Number | 9184550414 |
| Mailing Telephone | 9184554541 |
| Mailing Fax Number | 9184550414 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 91402 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200739390A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750536413 | Kimberly Ann Smallwood | Registered Nurse | 5841 S Maryland Ave, Dcam- Electrophysiology Department, Chicago, IL 60637-1447 | 2008-11-22 |
| Street Address |
2617 S ELM PL |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154311959 | Christopher Carroll Hunter | Emergency Medicine | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2005-10-24 |
| 1083250757 | Kyndal Renee' Stevens | Nurse Practitioner | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2019-11-18 |
| 1124532890 | Jamie Larie Kitchens | Nurse Practitioner | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2017-11-16 |
| 1073741732 | Sujan Joshi | Family Medicine | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2009-07-01 |
| 1265677819 | Kristen A Battles | Family Medicine | 2617 S Elm Pl, Broken Arrow, OK 74012 | 2008-12-11 |
| 1669621710 | Crystal Jones Hensley | Physician Assistant | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2008-09-13 |
| 1114107836 | Taniesha L Buffin | Obstetrics & Gynecology | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2007-11-09 |
| 1164586038 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2006-12-21 |
| 1063576452 | Ahs Oklahoma Physician Group,llc | Pediatrics | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2006-12-20 |
| 1568560464 | Jack Milton Sommers | Family Medicine | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659864064 | Andrene H Thompson | Nurse Practitioner | 19712 E 38th St S, Broken Arrow, OK 74014-1226 | 2018-06-11 |
| 1336333442 | Gary Dwayne Raleigh | Nurse Practitioner | 503 S Aspen, Broken Arrow, OK 74012 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968695 | Christi Howell | Nurse Practitioner | 2304 Burning Tree, Norman, OK 73071-3919 | 2020-09-30 |
| 1093322240 | Lacey Campbell | Nurse Practitioner | 6124 Beverly Hills Dr, Edmond, OK 73034-8690 | 2020-09-30 |
| 1700403037 | Molly Lewis | Nurse Practitioner | 9001 S 101st East Ave Ste 230, Tulsa, OK 74133-5797 | 2020-07-02 |
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1972139558 | Sammi Noel Pulliam | Nurse Practitioner | 700 W 7th Ave Ste 104, Bristow, OK 74010-2302 | 2020-03-16 |
| 1760017321 | Jennyfer Lynn Livingston | Nurse Practitioner | 105 S Bryant Ave # 205, Edmond, OK 73034-6399 | 2020-03-04 |
| 1336772771 | Lisa M Johnson | Nurse Practitioner | 3500 E Frank Phillips Blvd Ste 501, Bartlesville, OK 74006-2411 | 2020-02-13 |
| 1770123655 | Jennifer Katherine Yeaman | Nurse Practitioner | 4905 Nw 155th St, Edmond, OK 73013-9666 | 2020-01-08 |
| 1912546144 | Michelle Johnson | Nurse Practitioner | 1825 Preakness Path, Guthrie, OK 73044-7880 | 2020-01-06 |
| 1265071922 | Kristi Michelle Cooksey | Nurse Practitioner | 4713 Marston Ct, Norman, OK 73072-3116 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.