Active NPI
Kimarie Vhenisha Wilson Spence, APRN
- Nurse Practitioner
- Lake Mary, FL
National Provider Identifier
1932019767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11047313
- Practice address
- 525 Technology Park Ste 109
Lake Mary, FL 32746-7107 - Phone
- (407) 647-2346
- NPI assigned
- Sep 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11047313 | FL | Primary |
Addresses
Primary practice location
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Mailing address
33637 Sky Blossom Cir
Leesburg, FL 34788-3327
Phone (984) 269-6491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1932019767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33637 SKY BLOSSOM CIR",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347883327",
"telephone_number": "984-269-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TECHNOLOGY PARK STE 109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467107",
"telephone_number": "407-647-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON SPENCE",
"first_name": "KIMARIE",
"middle_name": "VHENISHA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-12",
"last_updated": "2026-09-12",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11047313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.