Individual provider Active NPI

Kathy Dianne Warinner-Spencer, NP

  • Nurse Practitioner
  • New Albany, IN
National Provider Identifier
1972818490
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6472P Issued in KY
Practice address
2857 Charlestown Rd Ste 100
New Albany, IN 47150-1998
Phone
(812) 944-7500
Fax
(812) 944-6424
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6472P KY Primary

Addresses

Primary practice location

2857 Charlestown Rd Ste 100
New Albany, IN 47150-1998

Mailing address

2857 Charlestown Rd Ste 100
New Albany, IN 47150-1998
Phone (812) 944-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000010 IN Practitioner - Nurse Practitioner 5890983282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC CurrentSince Jul 28, 2022 Accepting new patients
Vitalskin Medical Group Il PLLC CurrentSince Jul 28, 2022 Accepting new patients

Locations

2857 Charlestown Rd
Ste 100
New Albany, IN 47150
Phone (812) 944-7500

2857 Charlestown Rd
Ste 10
New Albany, IN 47150
Phone (819) 944-4656

825 University Woods Dr
Ste 8
New Albany, IN 47150
Phone (812) 944-7500

Interoperability endpoints

  • Direct secure messaging: kspencer@vitalskinderm.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1972818490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 CHARLESTOWN RD STE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471501998",
            "telephone_number": "812-944-7500",
            "fax_number": "812-944-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 CHARLESTOWN RD STE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471501998",
            "telephone_number": "812-944-7500",
            "fax_number": "812-944-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARINNER-SPENCER",
        "first_name": "KATHY",
        "middle_name": "DIANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6472P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.