Active NPI
Robbin M Spencer, AGPCNP-BC
- Occupational Health Nurse Practitioner
- Albany, NY
National Provider Identifier
1720645344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- F308619-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NP95011319 | CA | |
| Occupational Health Nurse Practitioner | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95011319 | CA | MD | Internal Medicine Physician |
| F308619-1 | NY | MD | Occupational Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Medical Group Inc | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.