Timothy Smallwood, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3015597 Issued in KY

Practice address

505 Shoppers Dr Ste 1
Winchester, KY 40391-2808

Phone

(859) 740-3376

Fax

(859) 740-3378

NPI assigned

Dec 16, 2020

Sex

Male

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

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Dermatology of Kentucky LLCGroup PAC ID 5496166308, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothys@kentuckydermatology.emadirect.md

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.

• Modern Dermatology of Kentucky LLC

  • Dermatology Physician
  • Lexington, KY
  • NPI 1699382507
  Medicare reassignment Care Compare group NPD
• Vitale Dermatology PLLC

  • Nurse Practitioner
  • Winchester, KY
  • NPI 1245191915
  Medicare reassignment NPD Authorized official
• Kentucky Dermatology and Skin Cancer Clinic, PSC

  • Specialist
  • Lexington, KY
  • NPI 1831310390
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1437745163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SHOPPERS DR STE 1",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912808",
            "telephone_number": "859-740-3376",
            "fax_number": "859-740-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SHOPPERS DR STE 1",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912808",
            "telephone_number": "859-740-3376",
            "fax_number": "859-740-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breauna Victoria Simpson, PA-C
• Edward Allen Sizemore, ARNP, NP-C
• Clarence Richard Skeens, PTA
• Rankin Douglas Skinner, DMD
• Sarah Slone
• Kimberly Dawn Smith, MA ED., CCC/SLP
• Smith'S Sober Living House
• Ronald Bruce Snowden, D.M.D.
• Saran Somarajan Pillai, MBBS
• Amanda Rene Sowers

• Family Nurse Practitioner in Winchester, KY
• Providers in Winchester, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.