Kelsey Small, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN11023055 Issued in FL

Practice address

2202 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5071

Phone

(727) 203-5073

NPI assigned

Dec 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Trinity Urogynecology & Associates PLLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • New Port Richey, FL
  • NPI 1427747872
  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1750986956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7454 RIVERBANK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346552634",
            "telephone_number": "727-207-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 DUCK SLOUGH BLVD STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555071",
            "telephone_number": "727-203-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KELSEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9452892",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11023055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "163W00000X",
            "identifier": "RN9452892",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sky Imaging LLC
• Heather Ann Slahetka
• Kyra Lee Slawson
• Karl Andrew Slazinski, M,D,
• SLT ABA Therapy Corp
• Angela Grace Smart, ARNP
• Julie Smialek
• Smile Bright Dental 54 PLC
• Adriana Smith, ARNP
• Barbara Ann Smith, ARNP,PMHNP-BC, FNP-C

• Women's Health Nurse Practitioner in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.