Individual provider Active NPI

Robbin M Spencer, AGPCNP-BC

  • Occupational Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1720645344
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
F308619-1 Issued in NY
Practice address
1873 Western Ave Ste 100
Albany, NY 12203-5028
Phone
(518) 690-4420
Fax
(518) 690-4427
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X NP95011319 CA
Occupational Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LX0106X F308619-1 NY Primary

Addresses

Primary practice location

1873 Western Ave Ste 100
Albany, NY 12203-5028

Mailing address

1873 Western Ave Ste 100
Albany, NY 12203-5028
Phone (185) 690-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916000563 CA Practitioner - Nurse Practitioner 4789913831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95011319CAMDInternal Medicine Physician
F308619-1NYMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Medical Group Inc Single Specialty CurrentSince Jul 17, 2019 Accepting new patients

Locations

7045 N Maple Ave
Ste 108
Fresno, CA 93720
Phone (559) 326-7393

7045 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-7393

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1720645344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVE STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035028",
            "telephone_number": "185-690-4420",
            "fax_number": "518-690-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVE STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035028",
            "telephone_number": "518-690-4420",
            "fax_number": "518-690-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ROBBIN",
        "middle_name": "M",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "NP95011319",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NY",
            "license": "F308619-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.