NICOLE SPENCER (NPI# 1639626153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639626153 |
| Entity Type | Individual |
| Full Name | NICOLE SPENCER |
| Practice Address |
5270 Union Ridge Road Burlington NC 27217 |
| Mailing Address |
3605 Bison Hill Lane Raleigh NC 27604 |
| Practice Telephone | 3364213247 |
| Mailing Telephone | 9198787299 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
238951 | NC | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
238951 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973895 | Nicole Andrea Spencer | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-02-11 |
| 1780153593 | Nicole Spencer | Occupational Therapist | 905 N Front St, Niles, MI 49120-1677 | 2018-11-21 |
| 1760973176 | Nicole Marie Spencer | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2018-05-21 |
| 1265937379 | Nicole Alisha Spencer | Registered Nurse | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2018-03-29 |
| 1538688775 | Nicole Spencer | Behavior Technician | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2017-09-19 |
| 1326497330 | Nicole Spencer | Speech-Language Pathologist | 4560 South Blvd Ste 310, Virginia Beach, VA 23452-1160 | 2016-06-09 |
| 1144694555 | Nicole Spencer | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1050 | 2015-11-23 |
| 1730470675 | Nicole Spencer | Surgery | 4320 Wornall Rd, Kansas City, MO 64111-5941 | 2011-04-26 |
| 1518123520 | Nicole J Spencer | Psychiatry & Neurology | 1740 W Taylor St, Chicago, IL 60612 | 2008-07-30 |
| Street Address |
5270 UNION RIDGE ROAD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| 1497926133 | D & M Family Care | Assisted Living Facility | 4327 Burch Bridge Rd., Burlington, NC 27217 | 2008-03-21 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304409 | Elizabeth Edacheril Poulose | Nurse Practitioner | 1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215-8066 | 2018-11-05 |
| 1548748189 | Sarah Newman | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2018-08-06 |
| 1336659259 | Brandi D Vazquez | Nurse Practitioner | 791 Boone Station Dr, Burlington, NC 27215-9775 | 2017-10-05 |
| 1639521412 | Mary Anne Kohn | Nurse Practitioner | 789 Pine St, Burlington, VT 05401 | 2016-07-06 |
| 1003286121 | Carrie Doss | Nurse Practitioner | 1409 University Dr, Suite 105, Burlington, NC 27215-8776 | 2015-10-01 |
| 1164816716 | Deborah Sullivan | Nurse Practitioner | 41 Mall Rd, Trauma Office 2t53, Burlington, MA 01805-0001 | 2015-03-22 |
| 1063642130 | Jessica Anna Rubio | Nurse Practitioner | 221 N Graham Hopedale Rd, Burlington, NC 27217-2971 | 2009-07-22 |
| 1891895371 | Linda M Sickorez | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
Please comment or provide details below to improve the information on NICOLE 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.