MARY ELIZABETH SPREAFICO (NPI# 1104036177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104036177 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH SPREAFICO |
| Credential | FNP |
| Practice Address |
24345 Highway 15 Union MS 39365-8575 |
| Mailing Address |
Po Box 2106 Meridian MS 39302-2106 |
| Practice Telephone | 6017748211 |
| Practice Fax Number | 6017748589 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017034597 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R865728 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06427823 | 05 |
| Street Address |
24345 HIGHWAY 15 |
| City | UNION |
| State | MS |
| Zip Code | 39365-8575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868452 | Russell E. Belenchia | Family Medicine | 24345 Highway 15, Union, MS 39365-8575 | 2005-11-17 |
| 1518349984 | Christopher Moore | Family Medicine | 24345 Highway 15, Union, MS 39365 | 2015-06-22 |
| 1851643928 | Laird Hospital, Inc. | Family Medicine | 24345 Highway 15, Union, MS 39365-8575 | 2012-10-12 |
| 1619205069 | Sallye Ann Roberson | Nurse Practitioner | 24345 Highway 15, Union, MS 39365-8575 | 2009-11-23 |
| 1336124932 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 24345 Highway 15, Union, MS 39365-8575 | 2005-12-07 |
| 1518949262 | Glenda R. Barrett | Nurse Practitioner | 24345 Highway 15, Union, MS 39365-8575 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861849614 | Telehealthone LLC | Nurse Practitioner | 801 East Jackson Street, Union, MS 39365 | 2016-05-23 |
| 1912065434 | Union Discount Pharmacy | Pharmacy | 25025 Hwy 15, Union, MS 39365 | 2006-12-05 |
| 1679531438 | Alliance-laird Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 25112 Hwy 15, Union, MS 39365 | 2006-05-02 |
| 1144753823 | Quinn's Family Pharmacy, Inc | Pharmacy | 24944 Hwy 15, Union, MS 39365-1565 | 2017-04-10 |
| 1740212687 | Freds Stores of Tennessee Inc | Pharmacy | 801 E Jackson Rd, Union, MS 39365-2213 | 2006-07-07 |
| 1609427533 | Scpg Mississippi LLC | Pharmacy | 801 E Jackson Rd, Union, MS 39365-2213 | 2019-09-23 |
| 1154586089 | Emily Nail Fleming | Optometrist | 210 Bank St, Union, MS 39365-2504 | 2008-07-21 |
| 1053556597 | Union Eye Care LLC | Optometrist | 109 Main St, Union, MS 39365-2519 | 2008-12-12 |
| 1487825444 | L. B. Adkins, O.d | Optometrist | 109 Main St, Union, MS 39365-2519 | 2008-03-18 |
| 1730265489 | L B Adkins | Optometrist | 109 Main St, Union, MS 39365-2519 | 2006-10-27 |
| Find all providers in zip 39365 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210969 | Regina N Inokon | Nurse Practitioner | 290 Clermont Ter, Union, NJ 07083-8003 | 2020-09-16 |
| 1831736909 | Michael Isbell | Nurse Practitioner | 2225 Wood Run Rd, Union, KY 41091-7808 | 2019-12-07 |
| 1255997573 | Cynthia L Bigelow | Nurse Practitioner | 440 N Duncan Byp, Union, SC 29379-8604 | 2019-05-13 |
| 1255801791 | Brandy M Wilson | Nurse Practitioner | 11670 Highway 21 S, Union, MS 39365-9198 | 2018-11-27 |
| 1508362617 | Marla Layne | Nurse Practitioner | 11737 Big Bone Church Rd, Union, KY 41091-9735 | 2018-04-05 |
| 1396245312 | Enrique N Victoria Jr. | Nurse Practitioner | 325 Martin Rd, Union, NJ 07083-7947 | 2018-02-16 |
| 1932619103 | Rebecca Annette Brown | Nurse Practitioner | 10411 Road 101, Union, MS 39365-6029 | 2017-10-02 |
| 1053846782 | Michael Albert Morale | Nurse Practitioner | 456 Clark Pl, Union, NJ 07083-7416 | 2017-05-01 |
| 1235661570 | Guilaine Michaud-mesidor | Nurse Practitioner | 896 Galloping Hill Rd, Union, NJ 07083-7917 | 2017-03-28 |
| 1932646643 | Emily Rozsonits | Nurse Practitioner | 9404 Riviera Dr, Union, KY 41091 | 2017-01-20 |
| Find all providers in UNION | ||||
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| 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.