KELLY SPENCE (NPI# 1770948036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770948036 |
| Entity Type | Individual |
| Full Name | KELLY SPENCE |
| Practice Address |
98 N 2nd St Fulton NY 13069-1254 |
| Practice Telephone | 3153263555 |
| Mailing Telephone | 3153263555 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
006979 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 W Cayuga St, Oswego, NY 131262031 | 3153429255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457775488 | Kelly Anne Spence | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2014-02-11 |
| 1831489657 | Kelly Spence | Psychiatry & Neurology | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2011-04-13 |
| 1831341148 | Kelly Spence | Speech-Language Pathologist | 25112 Highway 15, Union, MS 39365-8580 | 2008-10-17 |
| 1285721803 | Kelly Spence | Physical Therapist | 525 W Chester Pike, Lower Level, Havertown, PA 19083-4539 | 2006-10-06 |
| 1073552832 | Kelly Spence | Hospitalist | 7700 Floyd Curl, San Antonio, TX 78229-3902 | 2006-06-06 |
| Street Address |
98 N 2ND ST |
| City | FULTON |
| State | NY |
| Zip Code | 13069-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132655 | Karl Frederick Hafner | Family Medicine | 98 N 2nd St, Fulton, NY 13069-1254 | 2005-05-31 |
| 1578090346 | Lauren Rosenstein | Social Worker | 98 N 2nd St, Fulton, NY 13069-1254 | 2017-05-11 |
| 1639548522 | Danielle Breman | Social Worker | 98 N 2nd St, Suite 100, Fulton, NY 13069-1254 | 2015-09-21 |
| 1033517214 | Stephanie Emmert | Social Worker | 98 N 2nd St, Fulton, NY 13069-1254 | 2014-12-19 |
| 1316356017 | Maggie R Olon | Social Worker | 98 N 2nd St, Ste 100, Fulton, NY 13069-1254 | 2014-08-06 |
| 1053724542 | Edward Kevin Mock Jr. | Nurse's Aide | 98 N 2nd St, Suite 100, Fulton, NY 13069-1254 | 2014-06-03 |
| 1548508294 | Tiffany Marie Devendorf | Social Worker | 98 N 2nd St, Fulton, NY 13069-1254 | 2013-01-30 |
| 1013298090 | Portia Rene Archer | Social Worker | 98 N 2nd St, Suite 100, Fulton, NY 13069-1254 | 2011-09-02 |
| 1447559497 | Glenn H Forsythe | Social Worker | 98 N 2nd St, Fulton, NY 13069-1254 | 2011-03-16 |
| 1902093677 | Erika L Demarche | Counselor | 98 N 2nd St, Fulton, NY 13069-1254 | 2007-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291454 | Awilda Vega Johnston | Counselor | 92 N. 2nd St., #100, Fulton, NY 13069 | 2020-03-23 |
| 1174169346 | Gabrielle Sunshine Chrestler | Technician | 2118 Co Rt 176, Fulton, NY 13069 | 2019-11-22 |
| 1558917310 | Renee Omsby | Technician | 1323 County Rte 9, Fullton, NY 13069 | 2019-08-16 |
| 1194208488 | Bridgette Lynn Godfrey | Registered Nurse | 167 South 4th Street, Fulton, NY 13069 | 2018-09-12 |
| 1205299195 | Nu-ops, Inc | Taxi | 107 West 4th St So, Fulton, NY 13069 | 2016-03-30 |
| 1770909061 | Siobhan Anne Walsh | Licensed Practical Nurse | 436 Rowlee Road, Fulton, NY 13069 | 2014-03-11 |
| 1982971743 | Jennifer Lynn Scaringi | Licensed Practical Nurse | 505 Seneca St, Fulton, NY 13069 | 2011-11-22 |
| 1215242680 | Meghan Kathleen Hill | Physical Therapist | 706 South 4th St, Fulton, NY 13069 | 2010-08-10 |
| 1659699064 | Daniel Petrescu | Physical Therapist | 453 Park St., Michaud Residential Healthcare, Fulton, NY 13069 | 2010-05-10 |
| 1528212842 | Robyn Elizabeth Mccann | Licensed Practical Nurse | 464 Red School House Road, Fulton, NY 13069 | 2008-11-13 |
| Find all providers in zip 13069 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291454 | Awilda Vega Johnston | Counselor | 92 N. 2nd St., #100, Fulton, NY 13069 | 2020-03-23 |
| 1770135451 | Zahra Dashtaki | Counselor | 509 Kleewood Dr, Fulton, MO 65251-2403 | 2019-07-12 |
| 1104131804 | Tiffany Jane Gentile | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2010-08-18 |
| 1447874136 | Gayle Lee Kemper | Counselor | 2625 Fairway Dr Ste E, Fulton, MO 65251-4023 | 2020-05-29 |
| 1265070361 | Joseph Duane Hutchins | Counselor | 98 N 2nd St Ste 100, Fulton, NY 13069-1254 | 2019-12-19 |
| 1174164107 | Annalise Masten-muniz | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2019-10-01 |
| 1053875286 | Stephanie Grover | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2019-01-22 |
| 1194290080 | Melinda Fatiga | Counselor | 163 S 1st St, Fulton, NY 13069-1721 | 2018-10-08 |
| 1720509698 | Susan M Brockway | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2017-06-30 |
| 1740633130 | Danielle Beckwith | Counselor | 188 S 3rd St, Fulton, NY 13069-1801 | 2016-07-20 |
| Find all providers in FULTON | ||||
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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.