Sidney Spencer Jr.

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

BW7188 Issued in DC

Practice address

284 37TH PL SE
Washington, DC 20019-3102

Phone

(202) 765-8850

NPI assigned

Jan 11, 2019

Sex

Male

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1780158899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 37TH PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193102",
            "telephone_number": "202-765-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 37TH PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193102",
            "telephone_number": "202-765-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SIDNEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "DC",
            "license": "BW7188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamie Spencer, HHA
• Megan Spencer
• Melissa Spencer
• Octavia D Spencer
• Rafeal Spencer
• Sylvia Spencer
• Tawala Spencer
• Terri Renee Bower Spencer, LPC
• Tinamarie Spencer
• Tonya Yvette Spencer

• Continuing Education/Staff Development Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Continuing Education/Staff Development Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.