Active NPI
Leigh Small, PHD, RN, CPNP-PC
- Pediatric Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1154517662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP2044
- Practice address
- 500 N 3Rd St
Mail Code 3020
Phoenix, AZ 85004-2135 - Phone
- (602) 496-0910
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP2044 | AZ | Primary |
Addresses
Primary practice location
500 N 3Rd St
Mail Code 3020
Phoenix, AZ 85004-2135
Mailing address
500 N 3Rd St
Mail Code 3020
Phoenix, AZ 85004-2135
Phone (602) 496-0910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP2044 | Other | AZ | ADVANCED PRACTICE NP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2044 | AZ | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1154517662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N 3RD ST",
"address_2": "MAIL CODE 3020",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042135",
"telephone_number": "602-496-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N 3RD ST",
"address_2": "MAIL CODE 3020",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042135",
"telephone_number": "602-496-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "LEIGH",
"name_prefix": "Prof.",
"credential": "PHD, RN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "AP2044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE NP",
"identifier": "AP2044",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.