JULIE LYNNE SMALL (NPI# 1174817381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174817381 |
| Entity Type | Individual |
| Full Name | JULIE LYNNE SMALL |
| Other Name | JULIE SPRADLIN SMALL |
| Credential | PMHNP |
| Practice Address |
1606 Physicians Dr Ste 104 Wilmington NC 28401-7348 |
| Mailing Address |
2500 Kirkley Ct Wilmington NC 28409-8597 |
| Practice Telephone | 9103436890 |
| Practice Fax Number | 9103321233 |
| Mailing Telephone | 9103436890 |
| Mailing Fax Number | 9103321233 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5006814 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124576616 | Julie Small | Nurse Practitioner | 2500 Starling St, Suite 107, Brunswick, GA 31520-4265 | 2016-09-14 |
| 1669815510 | Julie C Small | Licensed Practical Nurse | 200 Broad Street, Mullins, SC 29574 | 2013-04-10 |
| 1427190313 | Julie Merinda Small | Occupational Therapist | 4218 Arendell St, Suite M, Morehead City, NC 28557-2866 | 2007-02-13 |
| Street Address |
1606 PHYSICIANS DR STE 104 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619959871 | Delta Behavioral Health Pllc | Psychologist | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2005-11-15 |
| 1891335386 | Emily Rowe | Psychologist | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2020-01-13 |
| 1841856978 | Ronald Ulridge Galloway | Counselor | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2019-05-14 |
| 1831663368 | Kristina Cassidy Fay Murphy | Psychologist | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2019-01-17 |
| 1679060354 | John Davies Mcintyre | Counselor | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2018-04-18 |
| 1407359979 | Kaitlyn Patterson | Psychologist | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2018-03-12 |
| 1538671854 | Megan Ashley Fentross | Counselor | 1606 Physicians Dr Ste 104, Wilmington, NC 28401 | 2017-10-26 |
| 1255863437 | Eric John Guendner | Psychologist | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2017-03-28 |
| 1326460742 | Andrea Hiser | Counselor | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2014-01-21 |
| 1902141021 | Brandy Leigh Alcorn | Counselor | 1606 Physicians Dr Ste 104, Wilmington, NC 28401-7348 | 2012-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193807 | Eric Funwi Neba | Nurse Practitioner | 5201 W Woodmill Dr # 31, Wilmington, DE 19808-4068 | 2020-08-04 |
| 1508413816 | Christina Ashley Reed | Nurse Practitioner | 24a Trolley Sq # 1164, Wilmington, DE 19806-3334 | 2019-08-21 |
| 1013483627 | Michelle Lauer | Nurse Practitioner | 3521 Silverside Rd Ste 2f1, Wilmington, DE 19810-4900 | 2018-10-22 |
| 1295201994 | Paul Sheslow | Nurse Practitioner | 240 N James St Ste 100d, Wilmington, DE 19804-3167 | 2018-10-19 |
| 1316457641 | Edwin Joseph Sokalski | Nurse Practitioner | 5598 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2017-09-30 |
| 1164838348 | Wilbur Cuddy | Nurse Practitioner | 1181 Haselton Rd, Wilmington, NY 12997-2519 | 2014-07-08 |
| 1073550836 | Sonja Lucille Greiner | Nurse Practitioner | 1911 South 17th Street, Suite 100, Wilmington, NC 28401-6663 | 2006-06-01 |
| 1730728098 | Gayla Denise Cragg | Nurse Practitioner | 604 Milltown Rd, Wilmington, DE 19808-2227 | 2020-01-03 |
| 1295372324 | Jason Darden | Nurse Practitioner | 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 | 2019-12-09 |
| 1154803492 | Fawn Helene Palmer | Nurse Practitioner | 501 W 14th St, Wilmington, DE 19801-1013 | 2018-09-04 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on JULIE LYNNE SMALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.