Nichole Spjut

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255497 Issued in KY

Practice address

305 Artillery Park Dr Unit 102
Fort Mitchell, KY 41017-2794

Phone

(859) 429-2120

NPI assigned

Dec 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1568977411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ARTILLERY PARK DR UNIT 102",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410172794",
            "telephone_number": "859-429-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ARTILLERY PARK DR UNIT 102",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410172794",
            "telephone_number": "859-429-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPJUT",
        "first_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Curtis Shewmaker, O.D.
• Lauren Kelly Shipp, APRN
• Debra Ann Siegmundt-Listermann, PT
• Brandon Doyle Slusher, ATC
• John M Smith, MD.
• Cassidy Marie Staggs, OTD
• Mary Elizabeth Stamps, APRN, FNP-BC.
• Lisa K Staub
• Stephen R. Kees, DMD
• Joseph Michael Stoeckle, PHARMD

• Clinical Social Worker in Fort Mitchell, KY
• Providers in Fort Mitchell, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.