Lisa Spencer

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

267155 Issued in NY

Practice address

140 Halgren Cres
Haverstraw, NY 10927-1070

Phone

(845) 282-6101

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1083311419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 241ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701303",
            "telephone_number": "718-671-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HALGREN CRES",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271070",
            "telephone_number": "845-282-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "267155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Saturno, LCSW
• Fred Schulmerich, BS PH-MBA-MPS
• Sheri Beth Serra
• Sharad M Shah, D.D.S.
• Ronell Singh
• Kaylyn M Strysko, LBA
• Sun River Health Inc
• Minerva Swanston, RN
• Tai Wellness & Consulting LLC
• Linda Valcourt

• Licensed Practical Nurse in Haverstraw, NY
• Providers in Haverstraw, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.