Theresa Small, CNM, APRN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

041620-23 Issued in NH

Practice address

168 Kinsley St Ste 19
Nashua, NH 03060-3634

Phone

(603) 595-3951

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Nashua, NH, CCN 300011

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsmall1155847@direct.bsmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment Care Compare group NPD
• St Joseph Hospital of Nashua NH

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD
• St Joseph Hospital of Nashua NH

  • Rehabilitation Hospital Unit
  • Nashua, NH
  • NPI 1669462792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1033684659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 KINSLEY ST STE 19",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603634",
            "telephone_number": "603-595-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Melendy Rd",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "NH",
            "postal_code": "030553481",
            "country_code": "US",
            "telephone_number": "603-554-6113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109C Grove St",
            "address_purpose": "LOCATION",
            "city": "Peterborough",
            "state": "NH",
            "postal_code": "034581765",
            "country_code": "US",
            "telephone_number": "603-554-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "THERESA",
        "credential": "CNM, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NH",
            "license": "041620-23",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NH",
            "license": "041620-23",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "041620-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyline Anesthesia PLLC
• Meghan Slaalien, LICSW
• Elizabeth Sarah Slattery, LCMHC
• Jeffrey Small, BA
• Jennifer Small, LMT
• Marina Andreyevna Smallwood, NP
• Jeffrey Smarse, BA
• Tina Smiley, BA
• Maxim Alexandrovich Smirnov, M.D.
• Aideen Smith

• Advanced Practice Midwife in Nashua, NH
• Providers in Nashua, NH by specialty
• Advanced Practice Midwife in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.