Nicole Small, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R226246 Issued in MD

Practice address

7831 Stonebriar Dr
Glen Burnie, MD 21060-8392

Phone

(443) 804-3487

NPI assigned

Jul 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Global Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Pasadena, MD
  • NPI 1922443704
  NPD
• Global Pain Management LLC

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, MD
  • NPI 1073904728
  NPD

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1073997607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 STONEBRIAR DR STE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608392",
            "telephone_number": "443-804-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 STONEBRIAR DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608392",
            "telephone_number": "443-804-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R226246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Skow, P.A.
• Kelly Anne Slear, PHARMD
• Sleep Disorders CTRS of the Mid Atlantic LLC
• Sleep Services of America, Inc
• Stephanie D Smack, LCSW-C
• Smile Loft Glen Burnie LLC
• Smile Up Dental Center
• Dominique Nicole Smith-Hicks
• Ann Virginia Smith, LCSW-C
• Cemia Smith, LMSW

• Family Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.