Active NPI
Elizabeth A Spencer, F.N.P.
- Family Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1326004565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F333706
- Practice address
- 40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344 - Phone
- (716) 893-1010
- Fax
- (716) 893-1002
- NPI assigned
- Apr 25, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F333706 | NY | Primary |
Addresses
Primary practice location
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Mailing address
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Phone (716) 893-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02430037 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333706 | NY | MD | Family Medicine Physician |
| F333706 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highgate Medical Group | Past | Accepting new patients | |
| Highgate Medical Group | Past | Accepting new patients |
Interoperability endpoints
- elizabeth.spencer.p3@direct.fallonhealth.nextgenshare.com
- eleiner@landmarkhealth-direct.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Amherst, NY
- NPI 1326158593
-
- Skilled Nursing Facility
- West Amherst, NY
- NPI 1457884470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1326004565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LA RIVIERE DR STE 201",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024344",
"telephone_number": "716-893-1010",
"fax_number": "716-893-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LA RIVIERE DR STE 201",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024344",
"telephone_number": "716-893-1010",
"fax_number": "716-893-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F333706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02430037",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.