Tammie Elaine Spencer

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004573 Issued in MO

Practice address

Trenton R-IX Schools
1607 Normal St
Trenton, MO 64683-1967

Phone

(660) 359-2228

Fax

(660) 359-3995

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trenton R-IX Schools

  • Local Education Agency (LEA)
  • Trenton, MO
  • NPI 1306989504

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1780708222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 NORMAL ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831967",
            "telephone_number": "660-359-2228",
            "fax_number": "660-359-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRENTON R-IX SCHOOLS",
            "address_2": "1607 NORMAL ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831967",
            "telephone_number": "660-359-2228",
            "fax_number": "660-359-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "TAMMIE",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475931713",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick R Smith, MA
• Khannah Marlitt-Marie Smith, MD
• Jason Jimmy So, M.D.
• Jennifer C Soriano, PT
• Katelyn Paige Souders
• Leslie E Stanley, LCSW
• Deri Drianne Stiles
• Dawn Yvette Stout, RN, BCFNP
• Katie J Street, LPN
• Steven C Taylor, LPC

• Occupational Therapist in Trenton, MO
• Providers in Trenton, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.