Individual provider Active NPI

Carol B Spicher, DIETICIAN

  • Nutritionist
  • Lancaster, PA
National Provider Identifier
1184661001
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DN001329 Issued in PA
Practice address
2301 Columbia Ave
Lancaster, PA 17603-4154
Phone
(717) 397-2738
NPI assigned
May 31, 2006
Last updated
Jan 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DN001329 PA Primary

Addresses

Primary practice location

2301 Columbia Ave
Lancaster, PA 17603-4154

Mailing address

2301 Columbia Ave
Lancaster, PA 17603-4154
Phone (717) 397-2738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100201000033 PA Practitioner - Registered Dietitian Or Nutrition Professional 6901949981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Pittsburgh School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Nov 17, 2019 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 17, 2019 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

426 Cloverleaf Rd
#D
Elizabethtown, PA 17022
Phone (717) 544-3059

2112 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 544-3059

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1184661001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034154",
            "telephone_number": "717-397-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034154",
            "telephone_number": "717-397-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICHER",
        "first_name": "CAROL",
        "middle_name": "B",
        "credential": "DIETICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN001329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.