Katharine C Sporer, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NO07781900 Issued in NJ

Practice address

107 E Mantua Ave
Wenonah, NJ 08090-1950

Phone

(856) 468-6868

Fax

(856) 464-1855

NPI assigned

Jan 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1396725792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MANTUA AVE",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901950",
            "telephone_number": "856-468-6868",
            "fax_number": "856-464-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MANTUA AVE",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901950",
            "telephone_number": "856-468-6868",
            "fax_number": "856-464-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORER",
        "first_name": "KATHARINE",
        "middle_name": "C",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NO07781900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2793407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Charles Sand, D.C.
• Zachary Smith
• Kenneth Charles Solem, LPC
• Emil Soucar, ED.D.
• Claus Peter Speth, M.D.
• Joann M Thomas
• John K. Todd, MA, LCADC
• Jennifer Amaris Torres, CPM
• Twin Cedars Inc. (Twin Cedars Assisted Living)
• Reena Varghese, PHARMD

• Adult Health Nurse Practitioner in Wenonah, NJ
• Providers in Wenonah, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.