Julie C Small, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P39017 Issued in SC

Practice address

200 Broad Street
Mullins, SC 29574

Phone

(843) 464-3740

NPI assigned

Apr 10, 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

Other identifiers 1

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.

• Mulllins School District Two

  • Local Education Agency (LEA)
  • Mullins, SC
  • NPI 1437199932
  NPD (past)

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1669815510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROAD ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295742532",
            "telephone_number": "843-464-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROAD STREET",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "29574",
            "telephone_number": "843-464-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "P39017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P39017",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosanne J Hooks MD PA
• Rosanne J Hooks MD PA
• Curtis Rush, RRT
• Jerry A Schexnayder, MD
• Nicole Scott
• Mary E Smith, LPN
• Stuart Alva Smith, M.D.
• Robert Benjamin Snipes, DMD
• South Carolina CVS Pharmacy LLC
• South Carolina Podiatric Physicians and Surgeons Group, LLC

• Licensed Practical Nurse in Mullins, SC
• Providers in Mullins, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.