Nicole Elveina Spence, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

292879 Issued in NY

Practice address

10 Schriever LN
New City, NY 10956-3314

Phone

(845) 613-7838

NPI assigned

Apr 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Elveina Innis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sunshine Homecare Services Corporation

  • Home Health Agency
  • New City, NY
  • NPI 1962673053
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1386140994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FOREST DR APT K",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109232125",
            "telephone_number": "845-461-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SCHRIEVER LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563314",
            "telephone_number": "845-613-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "NICOLE",
        "middle_name": "ELVEINA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "292879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "INNIS",
            "middle_name": "ELVEINA",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rossana Spataro
• John W Spaw, LMHC
• Speech Fees LLC
• Speech Therapy Services SLP PC
• Speech Tree Therapy Outpatient Rehabilitation SLP PC
• Dena Beth Sperling, LCSW
• Mitchell Stuart Spiegel, PT
• Sophia Spiliotis, RN MSN
• Suma Srisaila, MD
• SS.J USA Corp

• Licensed Practical Nurse in New City, NY
• Providers in New City, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.