Susan V Small, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30004008 Issued in WA

Practice address

703 S Whitman Ave
Rosalia, WA 99170

Phone

(509) 523-4950

Fax

(509) 523-4951

NPI assigned

Nov 1, 2006

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

Other names 1

• Susan V Bowen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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.

• Rosalia Health Clinic PLLC

  • Primary Care Nurse Practitioner
  • Rosalia, WA
  • NPI 1821129776
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1740368786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S WHITMAN AVE",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "99170",
            "telephone_number": "509-523-4950",
            "fax_number": "509-523-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S WHITMAN AVE",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "99170",
            "telephone_number": "509-523-4950",
            "fax_number": "509-523-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "SUSAN",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9652371",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BOWEN",
            "middle_name": "V",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Gelhaus, MS, ATC, LAT
• La Bramasole
• Christina Diane Lynch
• Rosalia Health Clinic PLLC
• Rosalia School District
• Thomas L Smith, LPN, LMT
• St Luke's Rehabilitation Institute
• Town of Rosalia Ambulance Services (Rosalia Ambulance)
• Whitman County Fire Protection District 7

• Family Nurse Practitioner in Rosalia, WA
• Providers in Rosalia, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.