Individual provider Active NPI

Robin Spencer, CPED

  • Pedorthist
  • Schaumburg, IL
National Provider Identifier
1780185694
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
212.000040 Issued in IL
Practice address
1710 E Woodfield Rd Ste 555
Schaumburg, IL 60173-5153
Phone
(847) 619-1701
Fax
(847) 619-1702
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X 212.000040 IL Primary

Addresses

Primary practice location

1710 E Woodfield Rd Ste 555
Schaumburg, IL 60173-5153

Mailing address

1710 E Woodfield Rd Ste 555
Schaumburg, IL 60173-5153
Phone (847) 619-1701

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

State licenses

LicenseStateTypeSpecialty
212.000040ILMDPedorthist

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1780185694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E WOODFIELD RD STE 555",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735153",
            "telephone_number": "847-619-1701",
            "fax_number": "847-619-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E WOODFIELD RD STE 555",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735153",
            "telephone_number": "847-619-1701",
            "fax_number": "847-619-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ROBIN",
        "credential": "CPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "IL",
            "license": "212.000040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.