Colleen Patricia Small, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA 38957 Issued in FL

Practice address

7551 Kismet St
Miramar, FL 33023-5946

Phone

(954) 391-9516

Fax

(954) 530-6958

NPI assigned

Jun 21, 2013

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

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.

• Dell Homecare for the Developmentally Disabled

  • Intellectual Disabilities Intermediate Care Facility
  • Miramar, FL
  • NPI 1568895225
  NPD (past) Authorized official

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375574400000",
    "number": "1487093548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 NW 55TH AVE",
            "address_2": "APARTMENT 1 C",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131418",
            "telephone_number": "954-661-3090",
            "fax_number": "954-530-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 KISMET ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235946",
            "telephone_number": "954-391-9516",
            "fax_number": "954-530-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "COLLEEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA 38957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Singer Diagnostic Inc
• Tristan Singleton
• Isachi Sisat Rivero
• Sam A Skaff, M.D.
• Joerg H Skomrock, M.D.
• Cheryl Susan Smart, LCSW
• Smile-FX, PA
• Angela Smith
• Charles Lee Smith, D.O.
• Geoffrey Smith

• Nurse's Aide in Miramar, FL
• Providers in Miramar, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.