KRISTIN LYNN SPENCER (NPI# 1396097069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396097069 |
| Entity Type | Individual |
| Full Name | KRISTIN LYNN SPENCER |
| Credential | CNP |
| Practice Address |
3007 Harbor Lane North Park Nicollet Clinic Plymouth - Family Medicine Plymouth MN 55447 |
| Practice Telephone | 9529938900 |
| Practice Fax Number | 9529938955 |
| Mailing Telephone | 9529938900 |
| Mailing Fax Number | 9529938955 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R121426-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154361848 | Kristin Clingman Spencer | Emergency Medicine | 5479 Pottsville Pike, Leesport, PA 19533-8650 | 2006-06-08 |
| 1326667924 | Kristin Spencer | Pharmacist | 4497 Far Hills Ave, Kettering, OH 45429-2405 | 2020-04-13 |
| 1780222034 | Kristin Nicole Spencer | Occupational Therapy Assistant | 1910 Medi Park Dr, Amarillo, TX 79106-2187 | 2019-12-17 |
| 1295205417 | Kristin Spencer | Case Manager/Care Coordinator | 1324 Eagle Trl, Copperas Cove, TX 76522-1966 | 2018-11-30 |
| 1629258884 | Kristin Marie Spencer | Pharmacist | 2315 William St, Buffalo, NY 14206-2526 | 2007-11-05 |
| Street Address |
3007 HARBOR LANE NORTH PARK NICOLLET CLINIC PLYMOUTH - FAMILY MEDICINE |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| 1437437753 | Alysse Zittnan Thibodeau | Speech-Language Pathologist | 3001 Harbor Ln. N., Suite 120, Plymouth, MN 55447 | 2011-08-03 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477180826 | Stephanie Jordan | Nurse Practitioner | 22 Cranberry Rd, Plymouth, MA 02360-2857 | 2020-03-25 |
| 1710543863 | Kristen Marie Kubik | Nurse Practitioner | 13970 Oakland Ct, Plymouth, MI 48170-5292 | 2019-05-14 |
| 1679931505 | Hillary Costa | Nurse Practitioner | 45 Resnik Rd Ste 302, Plymouth, MA 02360-4883 | 2016-02-06 |
| 1811374747 | Jill Marie Geer | Nurse Practitioner | 510 W Adams St, Suite 150, Plymouth, IN 46563-1765 | 2015-04-29 |
| 1740677921 | Inner Banks Family Medicine | Nurse Practitioner | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2015-04-24 |
| 1952706210 | Elizabeth Nelson-frazier | Nurse Practitioner | 50 Aldren Road, Plymouth, MA 02061-2711 | 2014-10-29 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1730595943 | Nicole Lee | Nurse Practitioner | 10 Bay Cliff Cir, Plymouth, MA 02360-1458 | 2014-07-08 |
| 1700122579 | Renae Charlene Atkins | Nurse Practitioner | 2855 Miller Dr Ste 119, Plymouth, IN 46563-8091 | 2012-12-21 |
| 1083987358 | Allison Woolley Ludlow | Nurse Practitioner | 7285 W 21200 N, Plymouth, UT 84330-0100 | 2012-02-17 |
| Find all providers in PLYMOUTH | ||||
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| 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.