Active NPI
Robin T. Spicer, M.S., L.P.A.
- Psychologist
- Boone, NC
National Provider Identifier
1790081834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1109
- Practice address
- 8076 Highway 105 South
Boone, NC 28607 - Phone
- (828) 963-9777
- NPI assigned
- Feb 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1109 | NC | Primary |
Addresses
Primary practice location
8076 Highway 105 South
Boone, NC 28607
Mailing address
3132 Stoney Brook Dr
Lenoir, NC 28645-9739
Phone (828) 759-5096
Other practice location 1
408 S Green St
Morganton, NC 28655-3529
Phone (828) 430-9949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107720 | Medicaid | NC |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1109 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southmountain Children and Family Services | Past | Accepting new patients | |
| Southmountain Children and Family Services | Psychologist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/26108/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Boone, NC
- NPI 1033462148
-
- Professional Counselor
- Nebo, NC
- NPI 1467763797
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1790081834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 STONEY BROOK DR",
"city": "LENOIR",
"state": "NC",
"postal_code": "286459739",
"telephone_number": "828-759-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8076 HIGHWAY 105 SOUTH",
"city": "BOONE",
"state": "NC",
"postal_code": "28607",
"telephone_number": "828-963-9777"
}
],
"practiceLocations": [
{
"address_1": "408 S Green St",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286553529",
"country_code": "US",
"telephone_number": "828-430-9949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPICER",
"first_name": "ROBIN",
"middle_name": "T.",
"credential": "M.S., L.P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107720",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
- Southmountain Children and Family Services
- Southmountain Children and Family Services
- Julia Paige Spangler, DPT
- Sparrow Mental Health Counseling, PLLC
- Spencer Speech Therapy
- Elizabeth R. Squires, REGISTERED NURSE
- Wesley Scott St Clair, MD
- John N Stacy, RPH
- Sharon Kane Stafford, M.D.
- Stephanie H Stallings, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.