KACI SPENCER (NPI# 1982063624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982063624 |
| Entity Type | Individual |
| Full Name | KACI SPENCER |
| Other Name | KACI HARKEY |
| Credential | PA-C |
| Practice Address |
3655 Vista Ave Saint Louis MO 63110-2539 |
| Mailing Address |
3635 Vista Ave Center for Comprehensive Cardiovascular Care Saint Louis MO 63110-2539 |
| Practice Telephone | 3145778350 |
| Practice Fax Number | 3142685410 |
| Mailing Telephone | 3145778350 |
| Mailing Fax Number | 3142685410 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2016004102 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3655 VISTA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778237 | St Louis University | Urology | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2006-02-08 |
| 1841824455 | Heather J. Sanders | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2020-02-24 |
| 1124664800 | Caitlyn Blessman | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-11-18 |
| 1992356570 | Caitlyn Leigh Schweickart | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-09-24 |
| 1881246502 | Ariel Ashley Schnell | Physician Assistant | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2019-07-12 |
| 1376010181 | Meghan Schutt | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2018-10-30 |
| 1225543226 | Maria Giubardo Rolwes | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110 | 2017-12-12 |
| 1538607742 | Kelly Sue Kunkle | Nurse Practitioner | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2017-02-08 |
| 1841641164 | Jared Koen | Surgery | 3655 Vista Ave, Suite 116, Saint Louis, MO 63110-2539 | 2016-06-28 |
| 1679929244 | Lisa Marie Buss | Registered Nurse | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2016-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336314715 | Rebecca May Palis | Physician Assistant | 1 Childrens Pl Ste 4s, Ste 4s, Saint Louis, MO 63110-1002 | 2008-04-25 |
| 1528245529 | Darlene F Bry | Physician Assistant | 1108 Olive St, Saint Louis, MO 63101-1922 | 2008-01-22 |
| 1811039969 | Rebecca G Adams | Physician Assistant | 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 | 2007-02-13 |
| 1255899316 | Mckenna E Roberts | Physician Assistant | 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 | 2019-03-07 |
| 1417445941 | Madeleine A Garman | Physician Assistant | 3015 N Ballas Rd, Saint Louis, MO 63131-2374 | 2018-04-30 |
| 1265938633 | Ella Kathleen Barber | Physician Assistant | 845 N New Ballas Ct Ste 200, Saint Louis, MO 63141-7169 | 2018-04-03 |
| 1780193300 | Rebecca Hruska | Physician Assistant | 615 S Ballas Rd, Saint Louis, MO 63122-5314 | 2017-09-26 |
| 1275078339 | Anne Elizabeth Robinson | Physician Assistant | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 | 2016-12-28 |
| 1548705601 | Renee Suzanne Kertz | Physician Assistant | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 | 2016-12-28 |
| 1437691540 | Danielle Getsee | Physician Assistant | 625 S New Ballas Rd, Saint Louis, MO 63141-8253 | 2016-11-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on KACI 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.