MISS KATIE MARIE SPENCER (NPI# 1306445507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306445507 |
| Entity Type | Individual |
| Full Name | MISS KATIE MARIE SPENCER |
| Practice Address |
32 Graham Ave Cortland NY 13045-2452 |
| Mailing Address |
2 Gilda Ln Livingston Manor NY 12758-6649 |
| Practice Telephone | 6077532011 |
| Mailing Telephone | 3474437469 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578097820 | Katie L Spencer | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2017-04-13 |
| 1104152321 | Katie R Spencer | Behavioral Analyst | 1 Greystone Rd, Carlisle, PA 17013-2660 | 2009-10-22 |
| Street Address |
32 GRAHAM AVE |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396197489 | Jessica J Bergeron | Nurse Practitioner | 32 Graham Ave, B-26 Van Hoesen Hall, Cortland, NY 13045-1637 | 2016-07-13 |
| 1982201364 | Ronald Edward Chrysler II | Specialist/Technologist | 32 Graham Ave, Cortland, NY 13045-2452 | 2020-10-08 |
| 1144852385 | Grace Ann Destefano | Specialist/Technologist | 32 Graham Ave, Cortland, NY 13045-2452 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897220 | Elise Dolbier | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
| 1265060859 | Lyudmila Levitskaya | Student in an Organized Health Care Education/Training Program | 3663 Fairview Dr, Cortland, NY 13045-9331 | 2020-03-30 |
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1619361821 | Kelly Noble | Student in an Organized Health Care Education/Training Program | 4313 Cosmos Hill Rd, Cortland, NY 13045-9132 | 2015-03-25 |
| 1487251864 | Kevin Broderick | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
| 1578160958 | Colin Albro | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
| 1609482751 | Alyssa Jacklyn Watson | Student in an Organized Health Care Education/Training Program | 165 Main St Ste A, Cortland, NY 13045-3191 | 2020-09-23 |
| 1982210589 | Eva Pauline Grove | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-1304 | 2020-09-18 |
| 1619596822 | Alexandra Starmer | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-04-09 |
| 1285283945 | Melissa Compton | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
| Find all providers in CORTLAND | ||||
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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.