Nicole Audra Spring, BSBA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

218 Gilmanton Rd
Barnstead, NH 03218-3183

Phone

(603) 409-1091

NPI assigned

Dec 1, 2019

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Nicole Audra Spring Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1003453820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 NH ROUTE 106",
            "city": "GILMANTON",
            "state": "NH",
            "postal_code": "032374925",
            "telephone_number": "603-581-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 GILMANTON RD",
            "city": "BARNSTEAD",
            "state": "NH",
            "postal_code": "032183183",
            "telephone_number": "603-409-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRING",
        "first_name": "NICOLE",
        "middle_name": "AUDRA",
        "name_prefix": "Miss",
        "credential": "BSBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003453820",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Individual",
            "affiliation": "N",
            "endpointDescription": "Individual",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Independent",
            "address_1": "218 Gilmanton Rd",
            "city": "Barnstead",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032183183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "181nhroute106",
            "affiliation": "N",
            "endpointDescription": "Nicolespring74",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Individual",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Independent",
            "address_1": "218 Gilmanton Rd",
            "city": "Barnstead",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032183183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SPRING",
            "middle_name": "AUDRA",
            "prefix": "MISS",
            "credential": "BSBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.