Individual provider Active NPI

Christine Ann Spencer

  • Family Nurse Practitioner
  • Truckee, CA
National Provider Identifier
1417012931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN269780 Issued in CA
Practice address
10956 Donner Pass Rd
Suite 230
Truckee, CA 96161-4861
Phone
(530) 582-3277
Fax
(530) 550-0544
NPI assigned
Dec 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN269780 CA Primary

Addresses

Primary practice location

10956 Donner Pass Rd
Suite 230
Truckee, CA 96161-4861

Mailing address

PO Box 1694
Truckee, CA 96160-1694
Phone (530) 582-3277

Other identifiers 1

IdentifierTypeStateIssuer
HSP40494FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050725000734 CA Practitioner - Nurse Practitioner 9032146725 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11011CAMDPhysical Therapy Assistant
RN269780CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plumas Health Care Home Health CurrentSince Jun 26, 2018 Accepting new patients
Eastern Plumas Health Care District CurrentSince Jun 26, 2018 Accepting new patients
Marcus Zachary, D.O., P.C. CurrentSince Nov 1, 2021 Accepting new patients

Locations

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

Interoperability endpoints

  • Direct secure messaging: cspencer@ephc.securechart.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417012931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1694",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961601694",
            "telephone_number": "530-582-3277",
            "fax_number": "530-550-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD",
            "address_2": "SUITE 230",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-3277",
            "fax_number": "530-550-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN269780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40494F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.