Individual provider Active NPI

Kathryn Small, NP

  • Family Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1497523385
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352796 Issued in NY
Practice address
855 Route 146 Ste 150
Clifton Park, NY 12065-3874
Phone
(518) 373-4555
Fax
(518) 371-3839
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352796 NY Primary

Addresses

Primary practice location

855 Route 146 Ste 150
Clifton Park, NY 12065-3874

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

2231 Burdett Ave Ste 110
Troy, NY 12180-2447
Phone (518) 271-3900

Other practice location 2

2231 Burdett Ave Ste 160
Troy, NY 12180-2453
Phone (518) 326-1620

Other practice location 3

713 Troy Schenectady Rd Ste 304
Latham, NY 12110-2490
Phone (518) 786-6270

Other practice location 4

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20240227003551 NY Practitioner - Nurse Practitioner 6608211883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Hospital of Troy, New YorkGroup PAC ID 6507770070, 258 clinicians

Practice addresses (Care Compare)

855 Route 146
Suite 150
Clifton Park, NY 12065-3874
Phone (518) 373-4555

Hospital & facility affiliations

  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
352796NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Mar 5, 2024 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Mar 5, 2024 Accepting new patients

Locations

855 Route 146
Ste 150
Clifton Park, NY 12065
Phone (518) 292-6200

713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448

2231 Burdett Ave
Ste 110
Troy, NY 12180
Phone (518) 271-3900

2231 Burdett Ave
Ste 160
Troy, NY 12180
Phone (518) 272-1333

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: ksmall3187101@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1497523385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146 STE 150",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653874",
            "telephone_number": "518-373-4555",
            "fax_number": "518-371-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2231 Burdett Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802447",
            "country_code": "US",
            "telephone_number": "518-271-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2231 Burdett Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802453",
            "country_code": "US",
            "telephone_number": "518-326-1620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Troy Schenectady Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102490",
            "country_code": "US",
            "telephone_number": "518-786-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KATHRYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2231 Burdett Ave Ste 160",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121802453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.