MR. KEVIN D SPENCER (NPI# 1477152122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477152122 |
| Entity Type | Individual |
| Full Name | MR. KEVIN D SPENCER |
| Credential | MSED |
| Practice Address |
12027 Nashville Blvd Apt 1 Saint Albans NY 11412-3829 |
| Practice Telephone | 6465496672 |
| Mailing Telephone | 6465496672 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12027 Nashville Blvd Apt 1, Saint Albans, NY 114123829 | 6465496672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306139720 | Kevin Spencer | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-05-18 |
| 1417996570 | Kevin Patrick Spencer | Family Medicine | 5625 Eiger Rd, Ste 200, Austin, TX 78735-8976 | 2006-06-05 |
| Street Address |
12027 NASHVILLE BLVD APT 1 |
| City | SAINT ALBANS |
| State | NY |
| Zip Code | 11412-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780901 | Emilsie Guerlaine Leconte | Licensed Practical Nurse | 19216 119th Ave, Saint Albans, NY 11412 | 2018-12-04 |
| 1124535554 | Pamela Ceclia Worrell-springer | Registered Nurse | 188-19 104th Ave, St. Albans, NY 11412 | 2018-01-08 |
| 1639681786 | Dr Bryant Medical Practice PC | Internal Medicine | 20515 Hollis Ave, Saint Albans, NY 11412 | 2017-10-30 |
| 1760907547 | Chudney Desarme | Licensed Practical Nurse | 190-24 111th Ave, Saint Albans, NY 11412 | 2017-08-14 |
| 1194266973 | Samantha Amanda Bailey | Licensed Practical Nurse | 117-35 195th Street, St Albans, NY 11412 | 2017-03-14 |
| 1659826543 | Rachel Colin | Nurse Practitioner | 109-02 201 Street, Jamaica, NY 11412 | 2016-08-20 |
| 1093173387 | Sharon Magwood | Specialist | 189-11 116th. Rd., 2nd. Fl, St.albans, NY 11412 | 2016-02-02 |
| 1790164374 | Wise Pharmacy LLC | Health Maintenance Organization | 189-01 Linden Blvd, Saint Albans, NY 11412 | 2015-05-28 |
| 1366833683 | Gordon's Cognitive Balance Center Inc | Community Health Worker | 113-41 Farmers Blvd, St. Albans, NY 11412 | 2015-02-09 |
| 1225458003 | Natasha Mcmillan | Student in an Organized Health Care Education/Training Program | 187-27 Dunkirk Dr, St. Albans, NY 11412 | 2014-04-21 |
| Find all providers in zip 11412 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187011 | Meika Knight | Specialist | 19511 116th Rd, Saint Albans, NY 11412-3113 | 2020-02-22 |
| 1780230631 | Ashley Moab Geffrard | Specialist | 18323 Arcade Ave, Saint Albans, NY 11412-1501 | 2019-08-16 |
| 1033681358 | Jennae Young | Specialist | 19418 109th Ave, Saint Albans, NY 11412-1132 | 2018-12-27 |
| 1194251330 | Yvonne Miller | Specialist | 11107 203rd St, Saint Albans, NY 11412-2225 | 2017-05-09 |
| 1992240147 | Yetunde D Kupoluyi | Specialist | 11423 198th St, Saint Albans, NY 11412-2820 | 2016-12-27 |
| 1255784641 | Shanice Mcdonald | Specialist | 11235 196th St, Saint Albans, NY 11412-2550 | 2016-07-20 |
| 1326435256 | Arthalie Dieujuste-seide | Specialist | 11512 203rd St, Saint Albans, NY 11412-2839 | 2015-04-17 |
| 1407282908 | Bernice Okafor | Specialist | 11459 197th St, Saint Albans, NY 11412-2842 | 2013-09-17 |
| 1619225497 | Dionne Raymond | Specialist | 11620 198th St, Saint Albans, NY 11412-3244 | 2012-08-27 |
| 1710241278 | Joan James | Specialist | 18360 Elmira Ave, Saint Albans, NY 11412-1516 | 2012-06-29 |
| Find all providers in SAINT ALBANS | ||||
| City | SAINT ALBANS |
| Zip Code | 11412 |
Please comment or provide details below to improve the information on MR. KEVIN D 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.