Active NPI
Patricia J Spitzer, PA-C
- Medical Physician Assistant
- Lincoln, NE
National Provider Identifier
1053346478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 569
- Practice address
- 1500 S 48TH St
Suite 412
Lincoln, NE 68506-1225 - Phone
- (402) 489-4600
- Fax
- (402) 489-5151
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 569 | NE | Primary |
Addresses
Primary practice location
1500 S 48TH St
Suite 412
Lincoln, NE 68506-1225
Mailing address
1500 S 48TH St
Suite 412
Lincoln, NE 68506-1225
Phone (402) 489-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47078842713 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1053346478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S 48TH ST",
"address_2": "SUITE 412",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061225",
"telephone_number": "402-489-4600",
"fax_number": "402-489-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S 48TH ST",
"address_2": "SUITE 412",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061225",
"telephone_number": "402-489-4600",
"fax_number": "402-489-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZER",
"first_name": "PATRICIA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47078842713",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.