Jacqueline Karen Spencer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

78385 Issued in MA

Practice address

30 Lancaster St
Cambridge, MA 02140-2839

Phone

(914) 522-5666

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1851482418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402839",
            "telephone_number": "914-522-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402839",
            "telephone_number": "914-522-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JACQUELINE",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "78385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02149008",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speech Refinery LLC
• Catheirne Agnes Spellman, LPN
• George Thomas Spencer-Green, MD
• Elizabeth J Spencer, MSW, LLCSW
• Gabrielle Spencer
• James Christopher Spencer, M.D.
• Kristin Spencer, PHARMD
• Paige Spencer
• Jacqueline Sperling, PH.D.
• Shannon Spiczka, RN

• Internal Medicine Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.