Active NPI
Christine Ann Spencer
- Family Nurse Practitioner
- Truckee, CA
National Provider Identifier
1417012931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN269780
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP40494F | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011 | CA | MD | Physical Therapy Assistant |
| RN269780 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Plumas Health Care Home Health | Current | Accepting new patients | |
| Eastern Plumas Health Care District | Current | Accepting new patients | |
| Marcus Zachary, D.O., P.C. | Current | 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
- 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.
-
- Critical Access Hospital
- Portola, CA
- NPI 1245236850
-
- Home Health Agency
- Portola, CA
- NPI 1043216849
-
- Family Medicine Physician
- Fresno, CA
- NPI 1710592621
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
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.