Active NPI
Christine M. Spencer
- Case Manager/Care Coordinator
- Garfield Heights, OH
National Provider Identifier
1639784143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 2871101
- Practice address
- 13201 Granger Rd
Garfield Heights, OH 44125-1978 - Phone
- (216) 789-6398
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 2871101 | OH | Primary |
Addresses
Primary practice location
13201 Granger Rd
Garfield Heights, OH 44125-1978
Mailing address
13201 Granger Rd
Garfield Heights, OH 44125-1978
Phone (216) 789-6398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2871101 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CSpencer@beechbrook.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2871101 | OH | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1639784143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13201 GRANGER RD",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441251978",
"telephone_number": "216-789-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13201 GRANGER RD",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441251978",
"telephone_number": "216-789-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "CHRISTINE",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-11",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "2871101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2871101",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CSpencer@beechbrook.org",
"affiliation": "N",
"address_1": "3737 Lander Rd",
"city": "Pepper Pike",
"state": "OH",
"country_code": "US",
"postal_code": "441245712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Garfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.