Amber Russell-Spencer, CCAR PRC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

28303 Dequindre Rd Ste 100
Madison Heights, MI 48071-3040

Phone

(248) 658-1116

NPI assigned

Jul 26, 2024

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

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1013745348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22868 SHARROW AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892882",
            "telephone_number": "586-738-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28303 DEQUINDRE RD STE 100",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713040",
            "telephone_number": "248-658-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL-SPENCER",
        "first_name": "AMBER",
        "credential": "CCAR PRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Ross, D.O.
• Starlette Gayle Rowland
• Lindsay Rose Rubin, D.O.
• Kimberly Ann Ruhle, CCC-SLP
• Nuha S. Rukieh, R.PH.
• Sharon Faye Ryan
• S E Michigan Family Practice PC
• S. E. Michigan Diagnostic Center PC
• S.E. Michigan Diagnostic Center PC
• Mubashir Sabir, MD

• Peer Specialist in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.