Mary Fultz Spencer

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

073345 Issued in NC

Practice address

5711 Six Forks Rd Ste 200
Raleigh, NC 27609-3888

Phone

(919) 845-1555

Fax

(919) 845-1558

NPI assigned

Mar 11, 2007

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Louisiana State University School of Medicine in New Orleans, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpha Psychiatric Associates, PLLCGroup PAC ID 4789942392, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Alpha Psychiatric Associates, PLLC

  • Psychiatry Physician
  • Cary, NC
  • NPI 1780019893
  Medicare reassignment Care Compare group NPD
• Alpha Psychiatric Associates, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1134664501
  NPD
• Glenwood Psychiatric Associates PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1417003674
  NPD (past)
• Michael N. Zarzar, MD, PA

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1467507327
  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396877874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SIX FORKS RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093888",
            "telephone_number": "919-845-1555",
            "fax_number": "919-845-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SIX FORKS RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093888",
            "telephone_number": "919-845-1555",
            "fax_number": "919-845-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARY",
        "middle_name": "FULTZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "073345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Spence
• Stephanie Spence
• Catherine Spencer Mezzy, LCSW, LCAS
• Charlene Spencer
• Jeremy Thomas Spencer, M.D.
• Natalie Faye Spencer
• Nicole Spencer
• Shamieka Spencer, LCSW
• Shante Spencer, LCSWA
• Jennifer N Speri, PT

• Adult Psychiatric/Mental Health Registered Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Psychiatric/Mental Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.