Individual provider Active NPI

Rhonda Sue Spivey, CFM

  • Mastectomy Fitter
  • Pinehurst, NC
National Provider Identifier
1417333014
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
CFM02938 Issued in NC
Practice address
95 Aviemore Dr
Pinehurst, NC 28374-9797
Phone
(910) 295-4489
NPI assigned
Aug 5, 2015
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X CFM02938 NC Primary

Addresses

Primary practice location

95 Aviemore Dr
Pinehurst, NC 28374-9797

Mailing address

95 Aviemore Dr
Pinehurst, NC 28374-9797
Phone (910) 295-4489

Other identifiers 1

IdentifierTypeStateIssuer
1417333014MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CFM02938NCMDMastectomy Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Economed of Aberdeen Inc Past Accepting new patients

Organizations & group practices 1

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1417333014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "RHONDA",
        "middle_name": "SUE",
        "credential": "CFM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "NC",
            "license": "CFM02938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417333014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.