MRS. COURTNIE DANIELLE SPENCER (NPI# 1619107687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619107687 |
| Entity Type | Individual |
| Full Name | MRS. COURTNIE DANIELLE SPENCER |
| Credential | LMT |
| Practice Address |
529 E Main St Bridgeport WV 26330-1824 |
| Mailing Address |
205 1/2 Milford St Clarksburg WV 26301-3516 |
| Practice Telephone | 3048424202 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | WV2009-2554 | WV | Other Service Providers |
| Street Address |
529 E MAIN ST |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891732962 | Michael W Mason | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2006-05-31 |
| 1477082048 | Chad Michael Porter | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2017-06-07 |
| 1285935965 | Amanda Green | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-11-10 |
| 1992016729 | Kristen A Rice | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-06-26 |
| 1184942807 | Susan Dipetta | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-05-05 |
| 1508188822 | Craig Patrick Kelley | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-03-01 |
| 1033444880 | Jaime K Sipher | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-10-13 |
| 1013155217 | Linda Ann Mccullough | Specialist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| 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 |
|---|---|---|---|---|
| 1386193993 | Tjuana Stewart | Specialist | 332 Wells St Apt 108, Bridgeport, CT 06606-5466 | 2016-09-23 |
| 1255888376 | Doreen Torres | Specialist | 243 Court D Bldg 42, Bridgeport, CT 06610 | 2016-09-07 |
| 1497164479 | Jessica Riley | Specialist | 1913 Meadowbrook Rd, Bridgeport, WV 26330-7076 | 2014-08-04 |
| 1225379449 | Rafael Mediavilla | Specialist | 33 Renwick Dr, Bridgeport, CT 06604-2037 | 2013-03-13 |
| 1306193651 | Terrence Gerard Robinson-brown | Specialist | 549 Ogden St, Bridgeport, CT 06608-1732 | 2012-08-06 |
| 1508186883 | Gold Coast Allure, LLC | Specialist | 695 Beechwood Ave, Bridgeport, CT 06605-1606 | 2010-06-09 |
| 1447497144 | Amanda Dawn Mccray | Specialist | 529 East Main St, Bridgeport, WV 26330 | 2009-01-16 |
| 1326205550 | Brent Perdrizet | Specialist | 267 Mill Hill, Bridgeport, CT 06606 | 2008-05-16 |
| 1487869228 | Leopold Strubbe | Specialist | 135 Harmony St, Bridgeport, CT 06606-4357 | 2007-05-14 |
| 1184796906 | Kathy M Hoare | Specialist | 18 Wexford Way, Bridgeport, WV 26330 | 2006-11-15 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on MRS. COURTNIE DANIELLE 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.