Active NPI
Katherine Terry Spencer
- Nurse's Aide
- Euclid, OH
National Provider Identifier
1306377411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401924601216
- Practice address
- 27700 Sidney Dr
Apt 204K
Euclid, OH 44132-3094 - Phone
- (216) 312-6187
- Fax
- (216) 465-2697
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401924601216 | OH | Primary |
Addresses
Primary practice location
27700 Sidney Dr
Apt 204K
Euclid, OH 44132-3094
Mailing address
27700 Sidney Dr
Unit 204K
Euclid, OH 44132-3094
Phone (216) 312-6187
Other names 1
- Miss Katherine Terry Case
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 |
|---|---|---|---|
| 401924601216 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1306377411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27700 SIDNEY DR",
"address_2": "UNIT 204K",
"city": "EUCLID",
"state": "OH",
"postal_code": "441323094",
"telephone_number": "216-312-6187",
"fax_number": "216-465-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27700 SIDNEY DR",
"address_2": "APT 204K",
"city": "EUCLID",
"state": "OH",
"postal_code": "441323094",
"telephone_number": "216-312-6187",
"fax_number": "216-465-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "KATHERINE",
"middle_name": "TERRY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401924601216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "CASE",
"middle_name": "TERRY",
"prefix": "MISS",
"credential": "STNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.