Kora J Spicer, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1557 Issued in ND

Practice address

2600 Demers Ave Ste 101
Grand Forks, ND 58201-4100

Phone

(701) 757-3045

Fax

(701) 787-4354

NPI assigned

Apr 25, 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

Other names 1

• Kora J Christian Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pediatric Therapy Partners, Inc.

  • Occupational Therapist
  • Thief River Falls, MN
  • NPI 1457479958
  Medicare reassignment
• Pediatric Therapy Partners, Inc.

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1104426352
  NPD

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1295260495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 FRONTIER WAY S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048909",
            "telephone_number": "701-232-2340",
            "fax_number": "701-232-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 101",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "701-757-3045",
            "fax_number": "701-787-4354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Red Lake Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567012133",
            "country_code": "US",
            "telephone_number": "218-416-1482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3060 Frontier Way S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581048909",
            "country_code": "US",
            "telephone_number": "701-232-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPICER",
        "first_name": "KORA",
        "middle_name": "J",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1474396",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORA",
            "last_name": "CHRISTIAN",
            "middle_name": "J",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon C Speidel, M.D.
• James K Sperle, CRNA
• Roni Lynn Sperle, FNP-C
• Brittany Elizabeth Spicer
• Kimberly K Spicer
• Laura Joy Spicer, WHCNP
• Michelle Rae Spicer, M.A. CCC-SLP
• Nathan M Spicer, CRNA
• Deonna K Spies, APRN, PMHNP-BC
• Hailey Spivey, SLP-LA

• Speech-Language Pathologist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.