MRS. COLETTE MARY SPENCER (NPI# 1164613394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164613394 |
| Entity Type | Individual |
| Full Name | MRS. COLETTE MARY SPENCER |
| Credential | NP |
| Practice Address |
8540 S Sepulveda Blvd Suite 1010 Los Angeles CA 90045-3807 |
| Practice Telephone | 3102161007 |
| Mailing Telephone | 3102161007 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2010-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
451990 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922417997 | Colette Spencer | Registered Nurse | 8131 W Eastman Pl, Lakewood, CO 80227-6355 | 2014-08-04 |
| 1972808491 | Colette Cristine Spencer | Registered Nurse | 9776 Holman Road Nw, Suite 102, Seattle, WA 98117 | 2011-01-13 |
| 1093908626 | Colette Elaine Spencer | Occupational Therapist | 1105 State St, Mound City, MO 64470-7202 | 2007-08-27 |
| Street Address |
8540 S SEPULVEDA BLVD SUITE 1010 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992738 | Ifeoma Stella Izuchukwu | Internal Medicine | 8540 S Sepulveda Blvd, Ste 116, Los Angeles, CA 90045-3819 | 2005-06-16 |
| 1770034159 | Danielle Alyse Brown | Dentist | 8540 S Sepulveda Blvd, 1102, Los Angeles, CA 90045-3807 | 2016-10-20 |
| 1346608676 | George B. Shinn Dds P.c | Dentist | 8540 S Sepulveda Blvd, #1200, Los Angeles, CA 90045-3807 | 2016-02-01 |
| 1770955809 | Benjamin Rosenberg, Dds Apc | Clinic/Center | 8540 S Sepulveda Blvd, Ste 1000, Los Angeles, CA 90045-3807 | 2015-10-28 |
| 1508245192 | Theodore Burnett, Dds, Inc | Dentist | 8540 S Sepulveda Blvd, Suite 918, Los Angeles, CA 90045-3807 | 2015-05-28 |
| 1902204621 | Richard Barry Feinstein | Dentist | 8540 S Sepulveda Blvd, Suite 1210, Los Angeles, CA 90045-3807 | 2014-12-11 |
| 1750787800 | Omid Vatan Dental Corp | Dentist | 8540 S Sepulveda Blvd, 108, Los Angeles, CA 90045-3807 | 2014-11-17 |
| 1265834121 | Sony Naing | Nurse Practitioner | 8540 S Sepulveda Blvd, Suite 818-a, Los Angeles, CA 90045-3807 | 2014-09-23 |
| 1790199370 | Andrew Leitner Md Inc | Anesthesiology | 8540 S Sepulveda Blvd, Suite 910, Los Angeles, CA 90045-3807 | 2014-06-11 |
| 1164859666 | Optimal Physical Therapy Inc | Physical Therapist | 8540 S Sepulveda Blvd, Ste 916, Los Angeles, CA 90045-3807 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108151 | Jennifer L Winters | Nurse Practitioner | 1011 Camino Del Rio S Ste 415, San Diego, CA 92108-3531 | 2020-06-11 |
| 1588214464 | Amanda Micaela Medrano | Nurse Practitioner | 725 Welch Rd Uppr PCu 420, Palo Alto, CA 94304-1601 | 2019-09-12 |
| 1629528278 | Angelynn Kitzerow | Nurse Practitioner | 1287b Arguello Blvd, San Francisco, CA 94122-2755 | 2016-10-06 |
| 1568641868 | Ivy Njoloma | Nurse Practitioner | 14248 San Benito Ct, Fontana, CA 92336-3781 | 2007-11-02 |
| 1508060237 | Oteria Randall Koayen | Nurse Practitioner | 1166 Brooktrail Dr, 1900 Fruitvale Ave Suite 3e, Pittsburg, CA 94565-7627 | 2007-06-14 |
| 1326118704 | Maria Amada F. Apacible | Nurse Practitioner | 160 Divisadero, San Francisco, CA 94143-0001 | 2006-11-09 |
| 1114934346 | Nicole Danielle Carrillo | Nurse Practitioner | 623 Broderick St, San Francisco, CA 94117-1411 | 2006-08-01 |
| 1962423640 | Maureen Kittner Haske Palomino | Nurse Practitioner | 100 Irvine Hall, Irvine, CA 92697-4275 | 2006-07-21 |
| 1598372690 | Heshimu Jamal Mccrainey | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-09-23 |
| 1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on MRS. COLETTE MARY SPENCER.
| 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.