Active NPI
Shavonne Spence, RN
- General Practice Registered Nurse
- Denver, CO
National Provider Identifier
1700643715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 1152161
- Practice address
- 2949 Federal Blvd
Denver, CO 80211-3741 - Phone
- (817) 941-1197
- NPI assigned
- Mar 5, 2024
- Last updated
- Apr 29, 2024
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 1152161 | TX | |
| Health Service Clinic/Center | 261QH0100X | CO | ||
| Family Health Clinical Nurse Specialist | 364SF0001X | 1152161 | TX | |
| Nutritionist | 133N00000X | 1152161 | TX | |
| Ophthalmic Assistant | 156FX1101X | 18025 | TX | |
| Emergency Registered Nurse | 163WE0003X | 1152161 | TX | |
| General Practice Registered Nurse | 163WG0000X | 1152161 | TX | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 1152161 | TX | |
| Maternal Newborn Registered Nurse | 163WM0102X | 1152161 | TX | |
| Ophthalmic Registered Nurse | 163WX1100X | 1152161 | TX | |
| Non-Pharmacy Dispensing Site | 332900000X | CO | ||
| Doula | 374J00000X | 1152161 | TX | |
| Health & Wellness Coach | 171400000X | 1152161 | TX | |
| Prevention Professional | 405300000X | 1152161 | TX | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 1152161 | TX |
Addresses
Primary practice location
2949 Federal Blvd
Denver, CO 80211-3741
Mailing address
3303 W. 97TH Ave
4
Westminster, CO 80031
Phone (817) 941-1197
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18025 | TX | MD | General Practice Dentistry |
| 1152161 | TX | MD | Ophthalmic Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1700643715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 W. 97TH AVE",
"address_2": "4",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "80031",
"telephone_number": "817-941-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2949 FEDERAL BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802113741",
"telephone_number": "817-941-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "SHAVONNE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "156FX1101X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": "TX",
"license": "18025",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "TX",
"license": "1152161",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "163WX1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ophthalmic",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "TX",
"license": "1152161",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "TX",
"license": "1152161",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.