Kevin D Spencer, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

12027 Nashville Blvd Apt 1
Saint Albans, NY 11412-3829

Phone

(646) 549-6672

NPI assigned

Oct 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1477152122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12027 NASHVILLE BLVD APT 1",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123829",
            "telephone_number": "646-549-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12027 NASHVILLE BLVD APT 1",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123829",
            "telephone_number": "646-549-6672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12027 Nashville Blvd Apt 1",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "NY",
            "postal_code": "114123829",
            "country_code": "US",
            "telephone_number": "646-549-6672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12027 Nashville Blvd Apt 1",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "NY",
            "postal_code": "114123829",
            "country_code": "US",
            "telephone_number": "646-549-6672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Patricia Smith, OTA
• Vonda Denise Smith, RN,IBCLC
• Vickara Yvonne Smythe
• Wendyann Elizabeth Snagg, RN
• Rosealyn Souden
• Marion Spencer, LMSW, MPH
• St. Albans Optics, Inc.
• Danielle St. Victor, OTR/L
• Stanley Ikezi, MD PC
• Stacey-Ann Stanley, LPN

• Specialist in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.