Marla Jo Small, RN, MSN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

28100603A Issued in IN

Practice address

615 Dubois St
Vincennes, IN 47591-1048

Phone

(812) 885-8010

Fax

(812) 885-8754

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1356973150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DUBOIS ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911048",
            "telephone_number": "812-885-8010",
            "fax_number": "812-885-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 DUBOIS ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911048",
            "telephone_number": "812-885-8010",
            "fax_number": "812-885-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "MARLA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IN",
            "license": "28100603A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Siewers, RPH
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• Leigh Singelton
• Abby Sites
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• Smile Doctors of Indiana, P.C.
• Sarah E Smith, OT
• SNH Indy Tenant LLC
• Desiree Snider, RN, MSN
• Mackenzie Snider, MSW, LSW

• Diabetes Educator Registered Nurse in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Diabetes Educator Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.