Active NPI
Mercedez Marie Speicher, ATC
- Sports Medicine (Emergency Medicine) Physician
- Florence, AL
National Provider Identifier
1053836767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 1992
- Practice address
- 1 Harrison PLZ
Florence, AL 35632-0002 - Phone
- (256) 765-4635
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 1992 | AL | Primary |
Addresses
Primary practice location
1 Harrison PLZ
Florence, AL 35632-0002
Mailing address
3410 Chisholm Rd
Florence, AL 35630-6351
Phone (319) 239-4368
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1992 | AL | MD | Sports Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1053836767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 CHISHOLM RD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356306351",
"telephone_number": "319-239-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARRISON PLZ",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356320002",
"telephone_number": "256-765-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEICHER",
"first_name": "MERCEDEZ",
"middle_name": "MARIE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "AL",
"license": "1992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.