Edra Spevack, N.D., CBHT

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND-370 Issued in CA

Practice address

919 Irving St
Suite 104
San Francisco, CA 94122-2206

Phone

(415) 742-1743

NPI assigned

Jun 16, 2010

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

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1700107521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BUCHANAN STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 IRVING ST",
            "address_2": "SUITE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222206",
            "telephone_number": "415-742-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEVACK",
        "first_name": "EDRA",
        "name_prefix": "Dr.",
        "credential": "N.D., CBHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiquan Thomas Spencer
• Cathy Spensley
• Kevin V. Spera, PMHCNS, BC
• Sophia Quinn Sperber
• Lawrence Mitchell Spergel, M.D.
• Charles Joseph Spezzano, PH.D.
• Samantha Anne Spiegel Smith, RD
• Elizabeth Spiegel
• Jamie Rebecca Spiegel
• Anna M Spielvogel, MD

• Naturopath in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.