KIMBERLY SMALL (NPI# 1578629028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578629028 |
| Entity Type | Individual |
| Full Name | KIMBERLY SMALL |
| Credential | NP |
| Practice Address |
5 Industrial Dr Mashpee MA 02649-3464 |
| Mailing Address |
297 North St Ste 221 Hyannis MA 02601-5133 |
| Practice Telephone | 5087784777 |
| Practice Fax Number | 5087719555 |
| Mailing Telephone | 5088627777 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 160735 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | NP2292 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540820 | Kimberly Small | Counselor | 1712 Sir William Osler Drive, Virginia Beach, VA 23454 | 2015-02-06 |
| 1104082015 | Kimberly Small | Registered Nurse | 749 Springdale Dr, Exton, PA 19341-2829 | 2008-07-30 |
| 1346279908 | Kimberly Ann Small | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2006-07-03 |
| Street Address |
5 INDUSTRIAL DR |
| City | MASHPEE |
| State | MA |
| Zip Code | 02649-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356793335 | Elizabeth M Felter | Physician Assistant | 5 Industrial Dr, Suite 202, Mashpee, MA 02649-3464 | 2016-07-01 |
| 1740651215 | Leann Lynn Swanson | Nurse Practitioner | 5 Industrial Dr, Suite 100, Mashpee, MA 02649-3464 | 2015-10-09 |
| 1366833840 | Craig M. Eldridge | Physician Assistant | 5 Industrial Dr, Suite 202, Mashpee, MA 02649-3465 | 2015-02-05 |
| 1669896825 | Craig Jones, M.d. - Ear, Nose & Throat Surgery, P.C. | Otolaryngology | 5 Industrial Dr, Suite 202, Mashpee, MA 02649-3464 | 2014-02-09 |
| 1821362294 | Woodbine, PC | Clinic/Center | 5 Industrial Dr, Suite 100, Mashpee, MA 02649-3464 | 2012-03-02 |
| 1194020180 | Alissa A Devito | Nurse Practitioner | 5 Industrial Dr, Suite 107, Mashpee, MA 02649-3464 | 2011-01-21 |
| 1114259843 | Steven J. Garrett, M.d., P.C. | Dermatology | 5 Industrial Dr, Suite 109, Mashpee, MA 02649-3464 | 2010-02-05 |
| 1083899678 | Dianne Wells | Nurse Practitioner | 5 Industrial Dr, Suite 100, Mashpee, MA 02649-3464 | 2008-01-02 |
| 1790987386 | Theodore A Calianos II Md PC | Plastic Surgery | 5 Industrial Dr, Suite 109, Mashpee, MA 02649 | 2007-06-05 |
| 1780800888 | Woodbine, PC | Family Medicine | 5 Industrial Dr, Mashpee, MA 02649-3464 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457817348 | Emily Hannah Minakin | Physician Assistant | Community Health Center of Cape Cod, 107 Commercial Street, Mashpee, MA 02649 | 2019-02-15 |
| 1790278018 | Westwind Counseling & Wellness, LLC | Counselor | 681 Falmouth Rd Ste A20c, Mashpee, MA 02649 | 2018-06-11 |
| 1790151967 | Katie Justine Wallace | Nurse Practitioner | Mashpee Family Medicine 5 Industrial Drive, Suite 100, Mashpee, MA 02649 | 2015-08-11 |
| 1972847689 | Kara M Blackwell | Licensed Practical Nurse | 12 Pine Grove Circle, Mashpee, MA 02649 | 2012-11-19 |
| 1992001457 | Mashpee Service Unit/indian Health Service | Clinic/Center | 483 Great Neck Road South, Building 002-health Clinic, Mashpee, MA 02649 | 2011-02-01 |
| 1306178066 | Pamela W Brighton | Counselor | Mashpee Common 2 Oak St., Center for Family Therapy, Mashpee, MA 02649 | 2010-02-05 |
| 1063743524 | Shana M Truel | Counselor | 477 Main Street, Mashpee, MA 02649 | 2010-01-22 |
| 1376718197 | Christopher Joseph Salvo | Pediatrics | 107 Commercial St., Mashpee, MA 02649 | 2008-04-23 |
| 1215111489 | Joyce Teir Hosford | Speech-Language Pathologist | 418-88 Quinaquisset Ave., Mashpee, MA 02649 | 2007-12-24 |
| 1225218092 | Emily Davern | Social Worker | 107 Commerical St, Mashpee, MA 02649 | 2007-11-09 |
| Find all providers in zip 02649 | ||||
| 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 |
|---|---|---|---|---|
| 1790151967 | Katie Justine Wallace | Nurse Practitioner | Mashpee Family Medicine 5 Industrial Drive, Suite 100, Mashpee, MA 02649 | 2015-08-11 |
| 1689283368 | Alyssa Caggiano | Nurse Practitioner | 107 Commercial St, Mashpee, MA 02649-6507 | 2020-07-28 |
| 1194020180 | Alissa A Devito | Nurse Practitioner | 5 Industrial Dr, Suite 107, Mashpee, MA 02649-3464 | 2011-01-21 |
| 1700027232 | Elizabeth J Homand | Nurse Practitioner | 107 Commercial St, Mashpee, MA 02649-6507 | 2009-03-12 |
| 1083899678 | Dianne Wells | Nurse Practitioner | 5 Industrial Dr, Suite 100, Mashpee, MA 02649-3464 | 2008-01-02 |
| 1003023284 | Allegra P Mcelroy | Nurse Practitioner | 107 Commercial St, Mashpee, MA 02649 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356893 | Alanna Rose Atkinson | Nurse Practitioner | 721 Newport Ave Apt 2, Attleboro, MA 02703-5932 | 2020-11-03 |
| 1770182230 | Elizabeth Anne Sutera | Nurse Practitioner | 725 Concord Ave Ste 3200, Cambridge, MA 02138-1092 | 2020-10-25 |
| 1962001503 | Dana Pallotta | Nurse Practitioner | 43 Saint Dennis Dr, Westwood, MA 02090-1820 | 2020-10-24 |
| 1194332577 | Andrew Wenstrom | Nurse Practitioner | 12 Hemlock St, Norwood, MA 02062-5616 | 2020-09-29 |
| 1801403290 | Jennifer Stewart | Nurse Practitioner | 16 Stonehedge Dr, Wilmington, MA 01887-3191 | 2020-09-29 |
| 1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
| 1225644420 | Jodi M Thompson | Nurse Practitioner | 11 Otis St, Lynn, MA 01904-1816 | 2020-09-22 |
| 1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
| 1902411002 | Eva Fiona Muhanuka | Nurse Practitioner | 21 Fillmore Dr, Billerica, MA 01821-2103 | 2020-09-15 |
| 1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
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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.