Jacqueline Knoll Spence, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

ARNP9218750 Issued in FL

Practice address

10000 W Colonial Dr Ste 187
Ocoee, FL 34761-3438

Phone

(407) 578-6610

Fax

(407) 578-2247

NPI assigned

Jan 30, 2008

Last updated

Sep 2, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absolute Health Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1891866083
  Medicare reassignment NPD
• Elyaman Medical Services PA

  dba Absolute Elder Care

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1609251685
  Medicare reassignment NPD
• Curana Health of Louisiana LLC

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1538399704
  NPD (past)
• William St John Lacorte, PMC

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1053324566
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1821275991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 187",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613438",
            "telephone_number": "407-578-6610",
            "fax_number": "407-578-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 187",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613438",
            "telephone_number": "407-578-6610",
            "fax_number": "407-578-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "JACQUELINE",
        "middle_name": "KNOLL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9218750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soma Vita Therapeutic Wellness LLC
• Soni Family Practice, PLLC
• South Central Florida Dialysis Partners LLC (Ocoee Home Training)
• Southern Dental LLC
• Rose Souverain
• Shamua Shayam Spencer Payne
• Misti Spencer
• Heidi Yolanda Sposato, M.A., LMFT
• Sra Ventures Inc (Westcoast Radiology)
• Sra Ventures Inc (Westcoast Radiology)

• Primary Care Nurse Practitioner in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.