Active NPI
Nikki Spencer, LMT
- Specialist
- Kamuela, HI
National Provider Identifier
1285869198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MAT6087
- Practice address
- 64-1061 Mamalahoa Hwy
Suite 110
Kamuela, HI 96743-8482 - Phone
- (808) 937-3013
- NPI assigned
- May 20, 2009
- Last updated
- May 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MAT6087 | HI | Primary |
Addresses
Primary practice location
64-1061 Mamalahoa Hwy
Suite 110
Kamuela, HI 96743-8482
Mailing address
PO Box 2926
Kamuela, HI 96743-2926
Phone (808) 937-3013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAT6087 | HI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1285869198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2926",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967432926",
"telephone_number": "808-937-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64-1061 MAMALAHOA HWY",
"address_2": "SUITE 110",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438482",
"telephone_number": "808-937-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "NIKKI",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MAT6087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
- Lorraine Sonoda-Fogel, MD
- Ronda Soto, NP
- Lokenani Kealoha Souza, APRN
- Dennis Patrick Spain, L.AC.
- Barbara Sparrow, PHD
- Brittney H. Spivak, D.O
- Stephanie Stago, LMT
- Angie N Stanley, APRN
- State of Hawaii Department of Health (East Hawaii Community Mental Health Center -Waimea Clinic)
- Ascena Stoilov, MSCPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.