NPI Code Detail JSON Logo

1346682010 NPI number — TAMARA FELICE SMALL NP-C

NPI Number: 1346682010
Health Care Provider/Practitioner: TAMARA FELICE SMALL NP-C

Information about “1346682010” NPI (TAMARA FELICE SMALL NP-C) exists in 1346682010 in HTML format HTML  |  1346682010 in plain Text format TXT  |  1346682010 in PDF (Portable Document Format) PDF  |  1346682010 in an XML format XML  formats.

NPI Number : 1346682010 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346682010",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMALL",
    "FirstName": "TAMARA",
    "MiddleName": "FELICE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COUSETT",
    "OtherFirstName": "TAMARA",
    "OtherMiddleName": "FELICE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "NP-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "121 WASHINGTON AVE N FL 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55401-1619",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7709 HOKE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ENGLEWOOD",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45315-9725",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "937-809-2940",
    "PracticeLocationAddressFaxNumber": "937-809-2941",
    "EnumerationDate": "07/23/2013",
    "LastUpdateDate": "10/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APRN.CNP.14970",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "RN305103",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "COA.14970-NP",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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