Kristina Small

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

FPS.000123 Issued in OH

Practice address

4111 Bradley Cir NW Ste 150
Canton, OH 44718-2563

Phone

(330) 546-0199

Fax

(330) 546-0186

NPI assigned

Jan 3, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emerald Pine, Grief & Trauma Services, LLC

  • Clinical Social Worker
  • Canton, OH
  • NPI 1154036564
  NPD

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1376313239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 BRADLEY CIR NW STE 150",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182563",
            "telephone_number": "330-546-0199",
            "fax_number": "330-546-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BRADLEY CIR NW STE 150",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182563",
            "telephone_number": "330-546-0199",
            "fax_number": "330-546-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "FPS.000123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna E Slagle
• Megan Slavik, OD
• Terry Michael Slingluff
• Michelle K Slivka, BA, LSW
• Charles Curtis Sloan, RPH
• Noelle Pollino Smalley, D.O.
• Jordan Smalls
• Shareece Smalls, RN
• Tiara N Smalls
• Sarah E Smarr

• Peer Specialist in Canton, OH
• Providers in Canton, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.