KERRIE E. SPICER


Address: 1049 Edgewater St Nw, Salem, OR 97304-4046
Phone: 5038144400

KERRIE E. SPICER (NPI# 1063855864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063855864
Entity Type Individual
Full Name KERRIE E. SPICER
Other Name KERRIE E. HAYMAN
Credential FNP
Practice Address 1049 Edgewater St Nw
Salem
OR 97304-4046
Mailing Address 6951 Nottingham Dr Ne
Keizer
OR 97303-3483
Practice Telephone 5038144400
Mailing Telephone 5038813698
Enumeration Date 2013-04-10
Last Update Date 2019-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 200340946RN OR Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
201600082NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1049 EDGEWATER ST NW
City SALEM
State OR
Zip Code 97304-4046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124331392 Xi Zheng Internal Medicine 1049 Edgewater St Nw, Salem, OR 97304-4046 2010-07-16
1043869191 Acorn Dentistry for Kids - West Salem, LLC Dentist 1049 Edgewater St Nw, Salem, OR 97304-4046 2019-09-10
1316424583 Robert Allan Hiester Nurse Practitioner 1049 Edgewater St Nw, Salem, OR 97304-4046 2018-07-20
1033626106 Brenda Achieng Ndunda Nurse Practitioner 1049 Edgewater St Nw, Salem, OR 97304-4046 2018-01-10
1982119848 Jordan A Biehle Nurse Practitioner 1049 Edgewater St Nw, Salem, OR 97304-4046 2017-12-13
1487037172 Adrian Dryden Family Medicine 1049 Edgewater St Nw, Salem, OR 97304-4046 2015-06-30
1558770420 Casey Leigh Hazenberg Nurse Practitioner 1049 Edgewater St Nw, Salem, OR 97304-4046 2014-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114413010 Sam Mackenzie Lane Massage Therapist 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 2018-07-03
1144761131 Rachel E Carson Physical Therapist 1025 2nd St. Nw, West Salem, OR 97304 2017-03-10
1962951061 Lee Ann Nail Social Worker 3965 Gibson Rd Nw, Salem, OR 97304 2016-09-29
1619421591 Logan Walters Physical Therapist 1025 2nd St Nw, Salem, OR 97304 2016-08-09
1770941338 Tysandra Gillis Massage Therapist 859 Mule Deer St., Salem, OR 97304 2016-02-10
1144620295 Molly Rodden Nurse Practitioner 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 2014-08-26
1881942126 Cynthia Ruth Rettler Registered Nurse 1520 Plaza St Nw Ste 150, Salem, OR 97304 2012-08-16
1336401017 Trillium Family Services Community/Behavioral Health 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 2012-06-08
1033428198 Kathleen Ketelson Nurse Practitioner 560 Wallace Rd Nw Ste 140, Salem, OR 97304 2010-10-06
1922332535 Robert Scott Mcadam Social Worker 1245 Edgewater St. Nw, Salem, OR 97304 2009-09-29
Find all providers in zip 97304

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285247908 Tracy Jean Payton Nurse Practitioner 3898 Lee Road 250, Salem, AL 36874-1450 2020-08-24
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1851913271 Rossiel Pita-roman Nurse Practitioner 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 2020-05-07
1487292157 Kelly Daily Morris Nurse Practitioner 5915 Port Stewart Ct Se, Salem, OR 97306-9034 2019-12-12
1174087985 Brenda Gott Nurse Practitioner 3103 Hh Highway, Salem, MO 65560 2019-01-25
1992277594 Shelisa Rena Taylor Nurse Practitioner 1126 Lee Road 250, Salem, AL 36874-1373 2018-12-19
1811472426 Kathryn B Powell Nurse Practitioner 400 Highland Ave Ste 1, Salem, MA 01970-1783 2018-09-28
1609367077 Jennifer Turner Nurse Practitioner 225 Sunbridge Drive, Salem, WV 26426 2018-05-22
1174042535 Elizabeth Keane Nurse Practitioner 9 Riverbank Rd, Salem, MA 01970-5311 2017-09-15
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Competitor

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City SALEM
Zip Code 97304

Improve Information

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Dataset Information

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.

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