Stefanie Michele Spessard, C.R.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R201915 Issued in MD

Practice address

87 Thomas Johnson Dr
Frederick, MD 21702-4427

Phone

(301) 694-0606

NPI assigned

Jul 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stefanie.spessard@fpap-md.direct.office.nextgen.com

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

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Frederick Pediatric Associates P.a.

  • Pediatrics Physician
  • Mount Airy, MD
  • NPI 1528883436
  NPD (past)
• Frederick Pediatric Associates P.a.

  dba Frederick Pediatric Associates

  • Pediatrics Physician
  • Frederick, MD
  • NPI 1538146717
  NPD (past)

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1194248120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ANNAS TER",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024427",
            "telephone_number": "301-694-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPESSARD",
        "first_name": "STEFANIE",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R201915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124716600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Lyris Speicher-Eisenstark
• Delphia Louise Spence-Adeeku
• Kailin Spencer
• Shannon Spencer
• Lori Susan Sperling, D.P.T.
• Gail Spessert, LCSW-C
• Douglas Frederick Spingola, PA-C
• Spiral Path Counseling Center
• Heather Spisso, M.ED., CCC-SLP
• Tammy Spitzer

• Pediatric Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.