Andrea Jane Spencer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010935-1 Issued in NY

Practice address

177 Washington St
Auburn, NY 13021-1741

Phone

(315) 730-5747

NPI assigned

Nov 6, 2008

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

State licenses

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1124272992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WASHINGTON ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211741",
            "telephone_number": "315-730-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 WASHINGTON ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211741",
            "telephone_number": "315-730-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ANDREA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010935-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Souid, MD
• Trisha Lee South
• David Dean Speck, M.D.
• Michael John Speck, D.D.S.
• Ann Marie Spencer Daum, O.D.
• Jessica C Spingler, P.T., DPT
• Tori Ann Splane, BIRTH DOULA
• Leah Squires, RN
• Maria Staehr
• Rhonda Faye Stanford-Zahn, LCSWR

• Speech-Language Pathologist in Auburn, NY
• Providers in Auburn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.