PRECIOUS MONIQUE SPENCER (NPI# 1235620527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235620527 |
| Entity Type | Individual |
| Full Name | PRECIOUS MONIQUE SPENCER |
| Credential | PMHNP |
| Practice Address |
1673 Mason Ave Daytona Beach FL 32117-5515 |
| Practice Telephone | 3132550900 |
| Mailing Telephone | 8006144124 |
| Mailing Fax Number | 8107296810 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704247506 | MI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN11000203 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
18312081156 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1673 MASON AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207709 | Thomas J Green Jr. | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2005-07-07 |
| 1255978896 | Angela Cook | Social Worker | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2019-12-03 |
| 1750940722 | Andrea Gollegly | Social Worker | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2019-06-12 |
| 1124537592 | Beverly Jean Craigle | Registered Nurse | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2017-09-28 |
| 1659829216 | Mackenzie Schwarb | Social Worker | 1673 Mason Ave, Suite 100, Daytona Beach, FL 32117-5515 | 2016-09-13 |
| 1841621117 | Preferred Radiology Alliance, Pllc | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2013-12-11 |
| 1285834002 | Marjorie A Thurlow | Radiology | 1673 Mason Ave, Suite# 305, Daytona Beach, FL 32117-5515 | 2007-07-19 |
| 1619037025 | Craig A. Roberto | Radiology | 1673 Mason Ave, Suite# 305, Daytona Beach, FL 32117-5515 | 2006-12-08 |
| 1003905290 | John William Gianini | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2006-10-12 |
| 1518054535 | Alireza Bozorgmanesh | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| 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 |
|---|---|---|---|---|
| 1104464882 | Dane Huge | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2019-12-13 |
| 1154988814 | Gena Penn | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-05-28 |
| 1720589229 | Irene Talarico | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-02-21 |
| 1205343126 | Roberta Marie Jones | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2017-12-30 |
| 1932624426 | Maryann Ethel Barrett | Nurse Practitioner | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2017-08-07 |
| 1134667181 | Amy Beth Mcdonnell | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2017-02-09 |
| 1811357262 | Erin Siatkowski | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2016-02-28 |
| 1619219375 | Marie Augustina Smith | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2013-03-20 |
| 1306175203 | Tananarieve P Brown | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2009-12-24 |
| 1417109919 | Margaret Fasano | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2008-10-15 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on PRECIOUS MONIQUE 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.