Individual provider Active NPI

Charmaine Rena Miller Spencer, NPC

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1821137936
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
255137 Issued in TX
Practice address
9202 Elam Rd
#350
Dallas, TX 75217
Phone
(214) 266-1719
Fax
(214) 266-1732
NPI assigned
Feb 5, 2007
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 255137 TX Primary

Addresses

Primary practice location

9202 Elam Rd
#350
Dallas, TX 75217

Mailing address

405 N Balfour
Cedar Hill, TX 75104
Phone (972) 291-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cmillerspencer8572@direct.phhs.org

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1821137936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N BALFOUR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "75104",
            "telephone_number": "972-291-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 ELAM RD",
            "address_2": "#350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75217",
            "telephone_number": "214-266-1719",
            "fax_number": "214-266-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER SPENCER",
        "first_name": "CHARMAINE",
        "middle_name": "RENA",
        "credential": "NPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "255137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.