Cheryl Lynn Spencer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043.061514 Issued in IL

Practice address

4101 W Iles Ave
Springfield, IL 62711-7051

Phone

(217) 793-9429

Fax

(217) 993-7090

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Cheryl Lynn Spencer Professional name

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1205502945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONCORDIA VILLAGE",
            "address_2": "4101 W. ILES",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-793-9429",
            "fax_number": "217-993-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117051",
            "telephone_number": "217-793-9429",
            "fax_number": "217-993-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.061514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "043.061514",
            "identifier": "043.061514",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "SPENCER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lynn M. Speck, M.D.
• Orlinda Speckhart, LCSW
• Speech Tree Associates, LLC
• Nicoleta Emilena Speil, M.D.
• Brendan James Spence, PHARMD
• Jewel Spencer, LMFT
• Stevi Spencer
• Eric Spenner, PA-C
• Amber Sperry, APN
• Spine and Sport Center

• Licensed Practical Nurse in Springfield, IL
• Providers in Springfield, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.