Individual provider Active NPI

Kate Spencer, PA

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1881795722
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13202 Issued in NC
Practice address
3007 Town Center Dr
Fayetteville, NC 28306-3662
Phone
(910) 354-1281
Fax
(910) 779-2025
NPI assigned
Sep 25, 2006
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13202 NC Primary
Physician Assistant 363A00000X 010246 NY

Addresses

Primary practice location

3007 Town Center Dr
Fayetteville, NC 28306-3662

Mailing address

2700 Westchester Ave
Purchase, NY 10577-2547
Phone (914) 607-5730

Other practice location 1

171 Huguenot St
New Rochelle, NY 10801-7760
Phone (914) 607-5890

Other practice location 2

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 681-3100

Other practice location 3

73 Market St
Yonkers, NY 10710-7616
Phone (914) 848-8088

Other practice location 4

1 Theall Rd
Rye, NY 10580-1404
Phone (914) 848-8890

Other practice location 5

1084 N Broadway
Yonkers, NY 10701-1107
Phone (914) 848-8000

Other practice location 6

NC 217 Glensford Drive
Fayetteville, NC 28314-0892
Phone (910) 483-4647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091117000088 NY Practitioner - Physician Assistant 8325186133 Reassigns benefits to 3 organizations
I20200507000925 CT Practitioner - Physician Assistant 8325186133 Reassigns benefits to 1 organization
I20240108000753 NC Practitioner - Physician Assistant 8325186133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

1262 E Broad Ave
Rockingham, NC 28379-4902
Phone (910) 817-9200

1800 N Sandhills Blvd
Aberdeen, NC 28315-2336
Phone (910) 724-2334

7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900

724 S Horner Blvd
Sanford, NC 27330-4822
Phone (919) 776-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010246NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Occupational Health P.C. CurrentSince Nov 27, 2023 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

217 Glensford Dr
Fayetteville, NC 28314
Phone (910) 483-4647

Interoperability endpoints

  • Direct secure messaging: kaspencer@hiemail.healtheconnections.org
  • Direct secure messaging: kate.spencer.1@24989.direct.athenahealth.com
  • Direct secure messaging: kspencer840714@nychhc.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1881795722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-607-5730",
            "fax_number": "914-457-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 TOWN CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063662",
            "telephone_number": "910-354-1281",
            "fax_number": "910-779-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Huguenot St",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108017760",
            "country_code": "US",
            "telephone_number": "914-607-5890",
            "fax_number": "914-607-5891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106042901",
            "country_code": "US",
            "telephone_number": "914-681-3100",
            "fax_number": "914-682-6588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Market St",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107107616",
            "country_code": "US",
            "telephone_number": "914-848-8088",
            "fax_number": "914-848-8671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Theall Rd",
            "address_purpose": "LOCATION",
            "city": "Rye",
            "state": "NY",
            "postal_code": "105801404",
            "country_code": "US",
            "telephone_number": "914-848-8890",
            "fax_number": "914-848-8891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1084 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011107",
            "country_code": "US",
            "telephone_number": "914-848-8000",
            "fax_number": "914-848-8815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "NC 217 Glensford Drive",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283140892",
            "country_code": "US",
            "telephone_number": "910-483-4647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13202",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.