Kimberly Lynn Spence

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN107575 Issued in OH

Practice address

1341 Warner Ave
Mansfield, OH 44905-2618

Phone

(419) 566-4276

NPI assigned

Feb 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1649448242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 WARNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052618",
            "telephone_number": "419-566-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 WARNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052618",
            "telephone_number": "419-566-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN107575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila South, NP
• Teresa Ann Sparks
• Jill A Spearman Macklin, LSW
• Kimberly Sue Spears
• Melissa Lee Speelman, MSW LISW
• Andrea K Spencer, LPTA
• Jill Michele Spencer, R.N.
• Kaytlynne R. Spillman
• Penelope Spillman
• Karen Marcia Spires, LISW

• Licensed Practical Nurse in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.