Kaila Rae Spafford, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R220632 Issued in MD

Practice address

4C North Ave
Bel Air, MD 21014-2330

Phone

(410) 638-0239

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• L & W Pediatrics PA

  dba Pediatric Partners

  • Pediatrics Physician
  • Bradenton, FL
  • NPI 1588726368
  NPD (past)

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1871311993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MARBURTH AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212861145",
            "telephone_number": "443-310-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142330",
            "telephone_number": "410-638-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAFFORD",
        "first_name": "KAILA",
        "middle_name": "RAE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R220632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari L Sopher, MD
• Jill Lynn Sostrin, R.N.
• Marcia R Soulsman, NP
• Southern California Neuromonitoring, LLC
• Kathleen C Southwick, SLP
• Lauren Spalt, DNP, FNP-C
• Frank Sparandero, MD
• Sparks Medical LLC
• Alfred D Sparks, M.D.
• Melanie Rowe Sparks, DNP-FNP-C

• Pediatric Nurse Practitioner in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.