Kedian Spence - Brown

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

760391-1 Issued in NY

Practice address

966 Montgomery St
1F
Brooklyn, NY 11213-5869

Phone

(347) 981-7493

NPI assigned

Nov 5, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1124424940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 MONTGOMERY ST",
            "address_2": "1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135869",
            "telephone_number": "347-981-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 MONTGOMERY ST",
            "address_2": "1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135869",
            "telephone_number": "347-981-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE - BROWN",
        "first_name": "KEDIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "320286",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "760391-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Spelios, LMSW
• Charlie Spell IV, MD
• Anthony Wayne Spellman
• David Spellman
• Stacy Spellman, LPN
• Beverly Spence, LPN
• Cecile Spence, FNP
• Chante Spence
• Jacqueline Eleanor Spence, LMSW
• Judy Cousins Spence, OTR/L

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.