MR. SHAWN JERMAINE SMALLS NURSE
NPI 1285995118
Licensed Practical Nurse in Plymouth Meeting, PA

NPI Status: Active since June 07, 2012

Contact Information

2250 HICKORY RD
SUITE 240
PLYMOUTH MEETING, PA
ZIP 19462
Phone: (302) 998-0469

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  • Individual
  • Male
  • Licensed Practical Nurse

About SHAWN SMALLS

This page provides the complete NPI Profile along with additional information for Shawn Smalls, a provider established in Plymouth Meeting, Pennsylvania with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1285995118 assigned on June 2012. The practitioner's primary taxonomy code is 164W00000X with license number L2-0010853 (DE). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1285995118
Provider Name
MR. SHAWN JERMAINE SMALLS NURSE
Other Name
MR. SHAWN SMALLS NURSE
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
2250 HICKORY RD SUITE 240 PLYMOUTH MEETING, PA 19462
Location Phone
(302) 998-0469
Mailing Address
2250 HICKORY RD SUITE 240 PLYMOUTH MEETING, PA 19462
Mailing Phone
(610) 888-0588
Is Sole Proprietor?
Yes
Enumeration Date
06-07-2012
Last Update Date
11-01-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
L2-0010853
License State
DE
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1164W00000XNursing Service Providers

Licensed Practical Nurse

PN278828 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
164W00000XOTHER (01)PAINDIVIDUAL PROVIDER
164W00000XOTHER (01)DEINDIVIDUAL PROVIDER
164W00000XOTHER (01)MDINDIVIDUAL PROVIDER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285995118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651891012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 8 + 9 + 1 + 0 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285995118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922122712 GINA M VAUL MSPT
Individual
Physical Therapist2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1265556997 ADELE BREEN-FRANKLIN
Individual
Specialist2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(800) 879-4471
1770608382 WANDA JEAN HESS SLP, AUD
Individual
Speech-Language Pathologist2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1427173079DR. PHILIP DANVERS PT, DPT
Individual
Physical Therapist2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1710003991MRS. CANDACE DAUBERT CNA
Individual
Nurse's Aide2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1356467377 DEBRA L RET PT
Individual
Physical Therapist2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1376668855 LAURA LUNARDI PTA, BA
Individual
Physical Therapy Assistant2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1780700096 SHIRA GREENSTONE OTR L
Individual
Occupational Therapist2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(800) 879-4471
1093831166MR. RODNEY WADE GUFFEY L.P.N.
Individual
Licensed Practical Nurse2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1124144209MRS. KATHRYN KOCHIS MSPT
Individual
Physical Therapist2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1811013121MRS. LORI LONGENBERGER CNA
Individual
Nurse's Aide2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1801912316MRS. SAMANTHA A SIMPKINS PTA
Individual
Physical Therapy Assistant2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(800) 879-4471
1821114489 STACEY MILLS CMA
Individual
Nurse's Aide2250 HICKORY RD
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1821114331 BARBARA KREISER LPN
Individual
Licensed Practical Nurse2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1457477937 JANICE SEITZINGER RN
Individual
Registered Nurse2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1861519332MRS. REBECCA S KOCH ASSOCIATE DEGREE
Individual
Physical Therapy Assistant2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1497871206 ANNETTE ROWE L.P.N.
Individual
Licensed Practical Nurse2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(800) 879-4471
1164548681MR. DEREK JEROME CAMPBELL V
Individual
Pharmacy Technician2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-6203
1386760296MS. RACHEL A. BUTLER L. P. N.
Individual
Licensed Practical Nurse2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462
(610) 834-1122
1881710309MS. VICKI I SHUHART LPN
Individual
Nursing Care2250 HICKORY RD SUITE240
PLYMOUTH MEETING, PA 19462
(800) 879-4471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285995118, enumerated in the NPI registry as an "individual" on June 07, 2012

The provider is located at 2250 Hickory Rd Suite 240 Plymouth Meeting, Pa 19462 and the phone number is (302) 998-0469

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 07, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.