DR. NANCY THERESA SPENCER (NPI# 1073605747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073605747 |
| Entity Type | Individual |
| Full Name | DR. NANCY THERESA SPENCER |
| Other Name | DR. NANCY THERESA LA MOTTA |
| Credential | PSYD |
| Practice Address |
12791 World Plaza Ln Bldg 89 Fort Myers FL 33907-3989 |
| Mailing Address |
8430 Belle Meade Dr Fort Myers FL 33908-6009 |
| Practice Telephone | 2398267903 |
| Practice Fax Number | 2396454777 |
| Mailing Telephone | 2398267903 |
| Mailing Fax Number | 2396454777 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY6815 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | 74129 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770662728 | Nancy Spencer | Midwife | 2722 214 Ave East, Lake Tapps, WA 98391-6245 | 2006-11-02 |
| 1487657052 | Nancy Lynn Spencer | Nurse Practitioner | 9155 Sw Barnes Rd, Ste 740, Portland, OR 97225-6634 | 2005-05-27 |
| 1477799864 | Nancy Lynn Spencer | Speech-Language Pathologist | 314 E Main St, Johnstown, NY 12095-2617 | 2009-01-06 |
| 1821059742 | Nancy Lynn Spencer | Nurse Practitioner | 43 New Scotland Ave, Albany, NY 12208-3412 | 2006-03-30 |
| Street Address |
12791 WORLD PLAZA LN BLDG 89 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-3989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356633671 | Nolan Katz | Psychologist | 12791 World Plaza Ln Bldg 89, Fort Myers, FL 33907-3989 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679028211 | Danielle Dance | Psychologist | 13565 American Colony Blvd, Fort Myers, FL 33912-5681 | 2016-08-24 |
| 1841673100 | Samantha Denboer | Psychologist | 13774 Plantation Rd Ste 105, Fort Myers, FL 33912-4461 | 2015-07-06 |
| 1700217429 | David James Koehn | Psychologist | 8359 Beacon Blvd Ste 301, Fort Myers, FL 33907-3059 | 2013-12-05 |
| 1326485707 | Leighann S Wong | Psychologist | 8359 Beacon Blvd Ste 503, Fort Myers, FL 33907 | 2013-05-26 |
| 1376855684 | Zenaida Paula | Psychologist | 10501 6 Mile Cypress Pkwy, Ste 115, Fort Myers, FL 33966-6400 | 2010-07-02 |
| 1922248160 | Ana Leticia Gontijo Lopes | Psychologist | 13430 Parker Commons Blvd, 101, Fort Myers, FL 33912-1812 | 2009-02-28 |
| 1184871568 | Emily C Ptaszek Psyd Pa | Psychologist | 5245 Ramsey Way, Suite 1, Fort Myers, FL 33907-2124 | 2008-08-27 |
| 1740490630 | Thomas Richard Peate | Psychologist | 2908 Nelson St, Fort Myers, FL 33901-6020 | 2007-05-22 |
| 1487780938 | Christina Hansen Cohen | Psychologist | 4301 Veronica S Shoemaker Blvd Ste B, Fort Myers, FL 33916-2216 | 2007-02-26 |
| 1861559346 | David S. Geiser, Ph.d., P.a. | Psychologist | 1950 Courtney Dr, Suite 2, Fort Myers, FL 33901-9034 | 2007-01-03 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on DR. NANCY THERESA SPENCER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.