Active NPI
Verneeda Spencer, MD
- Medical Oncology Physician
- Seattle, WA
National Provider Identifier
1124054655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD61116619
- Practice address
- 825 Eastlake Ave E
Seattle, WA 98109 - Phone
- (206) 520-5000
- NPI assigned
- Jun 25, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | AA3332 | AK | |
| Hematology & Oncology Physician | 207RH0003X | MD61116619 | WA | |
| Medical Oncology Physician | 207RX0202X | MD61116619 | WA | Primary |
Addresses
Primary practice location
825 Eastlake Ave E
Seattle, WA 98109
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other practice location 1
1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone (509) 228-1000
Other practice location 2
2925 DeBarr Rd
Suite 300
Anchorage, AK 99508-2983
Phone (907) 279-3155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124054655 | Medicaid | WA | |
| MD22211 | Medicaid | AK |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA2221 | AK | MD | Gastroenterology Physician |
| AA3332 | AK | MD | Hematology & Oncology Physician |
| MD61116619 | WA | MD | Hematology & Oncology Physician |
Interoperability endpoints
- vspencer1532168@direct.ehre.uwmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1124054655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98109",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "1204 N Vercler Rd",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992161020",
"country_code": "US",
"telephone_number": "509-228-1000",
"fax_number": "509-252-9300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 DeBarr Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995082983",
"country_code": "US",
"telephone_number": "907-279-3155",
"fax_number": "907-279-3154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "VERNEEDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AK",
"license": "AA3332",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD61116619",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD61116619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124054655",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD22211",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.