Marisa Gayle Small, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

717274 Issued in TX

Practice address

900 N Armstrong Ave
Denison, TX 75020-2230

Phone

(903) 465-2440

NPI assigned

Mar 21, 2018

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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Center for Family Medicine,PA

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1780808832
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1437653870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 SUMMIT CIR",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017443",
            "telephone_number": "580-230-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ARMSTRONG AVE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202230",
            "telephone_number": "903-465-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "MARISA",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "717274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lynn Simmons, RN
• Anil Singh, MD
• John B Sissney, D.O.
• Donald Melvin Skelton, DDS
• Jane Skief, FNP
• Amanda Nicole Smith, CSFA
• Damian Jerard Smith
• Eva Renee Smith, D.D.S.
• Kenna Lee Smith, PA-C
• Lauren Michelle Smith, SLP-I

• Family Nurse Practitioner in Denison, TX
• Providers in Denison, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.