Kathleen A Spachmann, RN, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

TP001845D Issued in PA

Practice address

225 S Cobbs Creek Pkwy
Philadelphia, PA 19139-3723

Phone

(215) 476-2223

Fax

(215) 476-3981

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Children'S Hospital of Philadelphia

  • Pediatrics Physician
  • Erdenheim, PA
  • NPI 1831262732
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1285604181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S COBBS CREEK PKWY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393723",
            "telephone_number": "215-476-2223",
            "fax_number": "215-476-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S COBBS CREEK PKWY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393723",
            "telephone_number": "215-476-2223",
            "fax_number": "215-476-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACHMANN",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "NO06899300",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "NJ00078300",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "TP001845D",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN280006L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058157",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Edward Sowers, PA-C
• Kayilu Nadie Sozinho
• Spa Care of Penn II, LLC
• Spa Care of Penn, LLC
• Lisa Spacek, M.D.
• Marissa Spacht
• Michael Spadola
• Tye Spady Blair, RDH, PHDHP
• Tamika Spady, CRNP
• Spaeth Katz & Myer PC

• Pediatric Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.