Jessica Kristina Spivey, C-NP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2269941 Issued in MA

Practice address

104 Charles Eldridge Rd Ste 6
Lakeville, MA 02347-1388

Phone

(508) 886-3921

Fax

(508) 644-0599

NPI assigned

Nov 6, 2023

Last updated

May 21, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grounded Interventions Psychiatric and Wellness Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeville, MA
  • NPI 1528838737
  NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1144093626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 RUSSELLS MILLS RD",
            "city": "SOUTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027481222",
            "telephone_number": "508-971-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHARLES ELDRIDGE RD STE 6",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471388",
            "telephone_number": "508-886-3921",
            "fax_number": "508-644-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "JESSICA",
        "middle_name": "KRISTINA",
        "credential": "C-NP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2269941",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2269941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Orthodontics, Inc.
• Southeastern Dental Care, PC
• Southern Massachusetts Dental, P.C. (Lakeville Dental)
• Stephanie Mary Souza
• Spill the Tea Psychotherapy LLC
• Emily Anita St.Laurent
• Victoria Stmartin
• Samantha Storm
• Lea M Sullivan, RN
• Sherry Ann Szczepkowski-Demoura

• Psychiatric/Mental Health Nurse Practitioner in Lakeville, MA
• Providers in Lakeville, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.