Individual provider Active NPI

Yuliya Spencer, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1407227861
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1122139 Issued in AL
Practice address
129 E Park Cir
Birmingham, AL 35235-3000
Phone
(205) 836-7283
Fax
(205) 836-7824
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1122139 AL Primary

Addresses

Primary practice location

129 E Park Cir
Birmingham, AL 35235-3000

Mailing address

129 E Park Cir
Birmingham, AL 35235-3000
Phone (205) 836-7283

Other names 1

  • Julia Spencer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20151130001068 AL Practitioner - Nurse Practitioner 1759681505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Mental Health Center IncGroup PAC ID 3577524362, 9 clinicians

Practice addresses (Care Compare)

1002 2ND Ave E
Oneonta, AL 35121-2508
Phone (205) 625-3882

129 E Park Cir
Birmingham, AL 35235-3000
Phone (205) 836-7283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1122139ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Mental Health Center Inc CurrentSince Oct 12, 2015 Accepting new patients
Eastside Mental Health Center Past Accepting new patients

Locations

129 E Park Cir
Birmingham, AL 35235
Phone (205) 836-7283

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.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1407227861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "205-836-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "205-836-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "YULIYA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1122139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "SPENCER",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.