ODETTE SPENCER (NPI# 1205137023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205137023 |
| Entity Type | Individual |
| Full Name | ODETTE SPENCER |
| Credential | FNP |
| Practice Address |
6209 16th Ave Brooklyn NY 11204-2702 |
| Practice Telephone | 7189473045 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F335890-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6209 16TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912951641 | Lamia Mahhoud Mroueh | Family Medicine | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2006-05-19 |
| 1891341624 | Gilbert Bell | Counselor | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2019-08-16 |
| 1649733320 | Healthcarechoices Ny, Inc | Clinic/Center | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2019-04-10 |
| 1265946404 | Nicole Danielle Ajenishe | Social Worker | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2017-11-27 |
| 1518402890 | Jose Manuel Vazquez | Registered Nurse | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2016-12-22 |
| 1104219583 | Nina Statman | Social Worker | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2015-03-10 |
| 1215353461 | Ghc Pharmacy Inc. | Pharmacy | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2014-03-12 |
| 1669798583 | Ertha Jeter | Nurse Practitioner | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2010-04-16 |
| 1134442528 | Ludmila Shklyarevsky | Psychiatry & Neurology | 6209 16th Ave, Brooklyn, NY 11204 | 2010-03-12 |
| 1376873265 | Icl Medicaid Service Coordination (msc) | Day Training, Developmentally Disabled Services | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2009-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| 1710588389 | Patricia Ayozie | Nurse Practitioner | 587 E 86th St Fl 2, Brooklyn, NY 11236-3226 | 2020-11-02 |
| 1598363657 | Anna Kleyner | Nurse Practitioner | 2730 Neptune Ave, Brooklyn, NY 11224-2060 | 2020-10-12 |
| 1861090193 | Cheyenne Alexia James | Nurse Practitioner | 358 Halsey St, Brooklyn, NY 11216-2412 | 2020-10-09 |
| 1821605213 | Dudmire Belizaire | Nurse Practitioner | 1267 Ryder St, Brooklyn, NY 11234-2816 | 2020-09-29 |
| 1003423716 | Iris Yuen | Nurse Practitioner | 8609 18th Ave, Brooklyn, NY 11214-3701 | 2020-09-26 |
| 1144832833 | Julia Kogan | Nurse Practitioner | 2544 E 23rd St, Brooklyn, NY 11235-2506 | 2020-08-23 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on ODETTE 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.