Kimberly M Spader PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

C008069 Issued in NC

Legal business name

KIMBERLY M SPADER PLLC

Practice address

725 Wellington Ave
Wilmington, NC 28401-7652

Phone

(910) 685-6223

NPI assigned

Jan 20, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly M Spader, LCSW

Title

Therapist

Phone

(617) 314-5345

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim M Spader, P-LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1477866259
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1144687260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 WHITE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116542",
            "telephone_number": "617-314-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELLINGTON AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017652",
            "telephone_number": "910-685-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M SPADER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "SPADER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "617-314-5345",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": "C008069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Nicole Kilzer, PTA
• Melissa Kimathi, LCSWA
• Lois J Kimberley, CRNA
• Kimberly Bolen, PLLC
• Kimberly M Selsky Lcmhc PLLC
• Kimberly S Adams PSYD PC
• Randy Kimery, PA
• Paige Kindel, LCSWA
• Gabrielle Cameron Kinderman, LCSWA
• King Chiropractic PLLC

• Early Intervention Provider Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.