Gabryelle Mychele Spicer, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4029659 Issued in KY

Practice address

255 Church St Ste 102B
Pikeville, KY 41501-3476

Phone

(606) 218-6011

Fax

(606) 218-6082

NPI assigned

Oct 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: gabryelle.spicer.p1@direct.kymha.nextgenshare.com

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1679395347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1433",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415021433",
            "telephone_number": "606-218-6011",
            "fax_number": "606-218-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST STE 102B",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013476",
            "telephone_number": "606-218-6011",
            "fax_number": "606-218-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "GABRYELLE",
        "middle_name": "MYCHELE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4029659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "4029659",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla K Spare, CRNA
• Sparker, Inc.
• Andrew Sparkman, D.O.
• Julie Kathrine Spears, APRN
• Colby Blake Spencer, PT, DPT
• Robin Sue Spurlock, FNP
• Ashley L Stacy, CSW
• Brianne Janel Stacy, BCBA, LBA
• Shawn Bradley Stacy, RBT
• Valerie Stafford, RN

• Family Nurse Practitioner in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.