Reva D Spencer

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

78369 Issued in OK

Practice address

604 Choctaw St
Alva, OK 73717-1626

Phone

(580) 327-1112

Fax

(580) 327-3067

NPI assigned

Apr 15, 2013

Last updated

Apr 15, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1952744435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 10TH ST",
            "address_2": "SUITE 211",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013156",
            "telephone_number": "580-571-3235",
            "fax_number": "580-256-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CHOCTAW ST",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737171626",
            "telephone_number": "580-327-1112",
            "fax_number": "580-327-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "REVA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "78369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sherman
• Smith & Smith Optometrist Inc (Alva Vision Clinic, Troy L. Smith, OD)
• Ginger Reah Smith, LPC
• Larry Gilmer Smith, DDS
• Virginia Snyder
• State of Oklahoma
• Darbi Lyn Sterling Hinde, PT
• Kasey L Swayden, PA-C
• Tabitha Talley
• The Eye Site, PLLC

• Registered Nurse in Alva, OK
• Providers in Alva, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.