Individual provider Active NPI

Valerie Jean Spanjers, RN

  • Registered Nurse
  • Menomonie, WI
National Provider Identifier
1447580410
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
102164-30 Issued in WI
Practice address
3001 US Highway 12 E Ste 160
Menomonie, WI 54751-3045
Phone
(715) 231-2702
Fax
(715) 232-5987
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 102164-30 WI Primary

Addresses

Primary practice location

3001 US Highway 12 E Ste 160
Menomonie, WI 54751-3045

Mailing address

3001 US Highway 12 E Ste 225
Menomonie, WI 54751-3045
Phone (715) 231-2702

Other identifiers 1

IdentifierTypeStateIssuer
12425535OtherCAQH

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
102164-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Dunn 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1447580410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E STE 225",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513045",
            "telephone_number": "715-231-2702",
            "fax_number": "715-232-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E STE 160",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513045",
            "telephone_number": "715-231-2702",
            "fax_number": "715-232-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANJERS",
        "first_name": "VALERIE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "102164-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12425535",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.