MRS. COLLEEN KAY SPENCER (NPI# 1730355645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730355645 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN KAY SPENCER |
| Credential | RN, BSN |
| Practice Address |
185 Edgewood Rd N Custer WI 54423-9780 |
| Practice Telephone | 7155924092 |
| Mailing Telephone | 7155924092 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
77124-030 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 35002700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083814644 | Colleen Spencer | Physical Therapist | 4500 Bissonnet St Ste 340, Bellaire, TX 77401-3009 | 2007-07-23 |
| Street Address |
185 EDGEWOOD RD N |
| City | CUSTER |
| State | WI |
| Zip Code | 54423-9780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788118 | Linda Meronek | Technician | 2856 County K North, Custer, WI 54423 | 2019-09-04 |
| 1043486228 | Franklin Fredrick Wileman | Dental Hygienist | 1234 Lloyd Court, Custer, WI 54423 | 2008-05-07 |
| 1154794568 | Brooke Michelle Simonis | Student in an Organized Health Care Education/Training Program | 2754 Vincent Dr, Custer, WI 54423-9639 | 2015-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469291 | Haley Layne Jorgensen | Physical Therapist | 886 Montgomery St Apt 8, Custer, SD 57730-1660 | 2020-05-26 |
| 1528607322 | Kristy Moodie | Massage Therapist | 7858 Ham Rd, Custer, WA 98240-9517 | 2019-12-27 |
| 1245876093 | Shellia Marie Bennett | Massage Therapist | 25389 Mccurran Ranch Rd, Custer, SD 57730-8309 | 2019-11-26 |
| 1235788118 | Linda Meronek | Technician | 2856 County K North, Custer, WI 54423 | 2019-09-04 |
| 1952969123 | Nancy Nicole Peterson | Counselor | 1369 Montgomery St, Custer, SD 57730-8246 | 2019-06-03 |
| 1003304205 | New Trails Ministry, Inc | Clinic/Center | 11455 Elliott Rd, Custer, SD 57730-8239 | 2018-04-24 |
| 1134626492 | Patricia Ann Gregory | Physical Medicine & Rehabilitation | 9108 Highway 401, Custer, KY 40115-5008 | 2018-04-12 |
| 1093227381 | Alexus Cox | Student in an Organized Health Care Education/Training Program | 6377 S Eden Lake Rd, Custer, MI 49405-9654 | 2017-10-26 |
| 1255854998 | Kelli Bolton | Specialist/Technologist | 527 Montgomery St, Custer, SD 57730-1124 | 2017-07-25 |
| 1467814640 | Beverly Kathleen Pritchett | Behavioral Analyst | 9236 Delta Line Rd, Custer, WA 98240-9621 | 2016-03-25 |
| Find all providers in CUSTER | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717111 | Emilie S Steiner | Registered Nurse | 1121 River Place Blvd, Waukesha, WI 53189-7871 | 2020-10-12 |
| 1447858733 | Kelly Wendt | Registered Nurse | 204 Morrissey Dr, North Prairie, WI 53153-9732 | 2020-10-09 |
| 1942815683 | Catherine Mary Waldvogel | Registered Nurse | W8046 Moose Lake Rd, Antigo, WI 54409-8961 | 2020-09-10 |
| 1407468176 | Pageen Manolis Small | Registered Nurse | 308 Owen Rd, Monona, WI 53716-3526 | 2020-08-23 |
| 1932717410 | Paulette Jo Whalen | Registered Nurse | W267s7535 Olympia Ct N, Waukesha, WI 53189-9637 | 2020-07-21 |
| 1760009419 | Kerstin Leslie Nedegaard | Registered Nurse | W1080 Mohawk Valley Rd, Stoddard, WI 54658-9025 | 2020-06-29 |
| 1477177079 | Chanelle Anshela Causey | Registered Nurse | 3840 N 57th St, Milwaukee, WI 53216-2216 | 2020-05-31 |
| 1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
| 1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
| 1487276705 | Monica Lynn Paar | Registered Nurse | 21343 Wolfe Run Ln Apt 3a, Galesville, WI 54630-8794 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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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.