MRS. MONIQUE ROBERTSON SPENCER (NPI# 1265687735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265687735 |
| Entity Type | Individual |
| Full Name | MRS. MONIQUE ROBERTSON SPENCER |
| Practice Address |
1526 Manchester Dr Shiloh IL 62269-7278 |
| Practice Telephone | 6186288426 |
| Mailing Telephone | 6186288426 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
164.004111 | IL | Dietary & Nutritional Service Providers |
| Street Address |
1526 MANCHESTER DR |
| City | SHILOH |
| State | IL |
| Zip Code | 62269-7278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043841703 | Fig Nutrition LLC | Dietitian, Registered | 4107 N Damen Ave Apt 37, Chicago, IL 60618-3258 | 2020-01-31 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1003259540 | Bogumila W Czaplinski | Dietitian, Registered | 2953 Central St Fl 1, Evanston, IL 60201-1245 | 2013-04-15 |
| 1972802544 | Sara Conte Martin | Dietitian, Registered | 2736 N Hampden Ct, 208, Chicago, IL 60614-1649 | 2011-03-22 |
| 1689984460 | Karen Christine Behnke | Dietitian, Registered | 921 Britta Ln, Geneva, IL 60134-3404 | 2010-10-14 |
| 1932349719 | Cheryl Ann Williams | Dietitian, Registered | 404 Appleton Dr, Vernon Hills, IL 60061-1712 | 2009-03-06 |
| 1730185885 | Susan Lynne Coopersmith | Dietitian, Registered | 7301 N Lincoln Ave, Suite 205, Lincolnwood, IL 60712-1709 | 2005-06-23 |
| 1649781725 | Bonita L Malinowski | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2017-10-17 |
| 1558472209 | Robin Diaz-grady | Dietitian, Registered | 3650 W 95th St, Evergreen Park, IL 60805-2108 | 2006-08-31 |
Please comment or provide details below to improve the information on MRS. MONIQUE ROBERTSON 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.