Individual provider Active NPI

Natalie Kyle Small, FNP-C

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1467843326
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014015287 Issued in MO
Practice address
3200 Chouteau Ave
Casa de Salud
St. Louis, MO 63103
Phone
(314) 977-1250
Fax
(314) 977-1255
NPI assigned
Feb 13, 2015
Last updated
Feb 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014015287 MO Primary
Family Nurse Practitioner 363LF0000X 209.011715 IL

Addresses

Primary practice location

3200 Chouteau Ave
Casa de Salud
St. Louis, MO 63103

Mailing address

3200 Chouteau Ave
Casa de Salud
St. Louis, MO 63103
Phone (314) 977-1250

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

State licenses

LicenseStateTypeSpecialty
209.011715ILMDFamily Nurse Practitioner
2014015287MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1467843326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CHOUTEAU AVE",
            "address_2": "CASA DE SALUD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63103",
            "telephone_number": "314-977-1250",
            "fax_number": "314-977-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CHOUTEAU AVE",
            "address_2": "CASA DE SALUD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63103",
            "telephone_number": "314-977-1250",
            "fax_number": "314-977-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "NATALIE",
        "middle_name": "KYLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014015287",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.