KELLY RUTHANNE SPENCER (NPI# 1356613970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356613970 |
| Entity Type | Individual |
| Full Name | KELLY RUTHANNE SPENCER |
| Credential | ARNP |
| Practice Address |
4600 Military Trl #122 Jupiter FL 33458-4810 |
| Practice Telephone | 5617434911 |
| Practice Fax Number | 5617432998 |
| Mailing Telephone | 5617434911 |
| Mailing Fax Number | 5617432998 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9248154 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199295 | Kelly Spencer | Behavioral Analyst | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2016-04-17 |
| 1336200013 | Kelly Lynn Spencer | Social Worker | 1801 Ne Waterfield Village Ct., Blue Springs, MO 64014 | 2006-12-13 |
| 1154704476 | Kelly Spencer | Nurse Practitioner | 73 Market St, Yonkers, NY 10710-7616 | 2015-07-06 |
| Street Address |
4600 MILITARY TRL #122 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376150 | Tasmina Sheikh | Psychiatry & Neurology | 4600 Military Trl, Ste 221, Jupiter, FL 33458-4813 | 2005-06-20 |
| 1922506583 | Robert Sterling Hall II | Registered Nurse | 4600 Military Trl, Jupiter, FL 33458-4810 | 2018-01-30 |
| 1093266314 | Palm Beach Vascular and Wound Care Pa | Internal Medicine | 4600 Military Trl, Jupiter, FL 33458-4810 | 2016-10-21 |
| 1619322823 | Medi-weightloss Clinic of Jupiter | Clinic/Center | 4600 Military Trl, Suite 114, Jupiter, FL 33458-4810 | 2016-04-26 |
| 1891167144 | Ali Mandelblatt | Psychologist | 4600 Military Trl, Suite 103, Jupiter, FL 33458-4810 | 2015-10-27 |
| 1255714721 | Ashley Wellons | Audiologist | 4600 Military Trl, Suite 205, Jupiter, FL 33458-4810 | 2015-07-02 |
| 1558752709 | Integrative Foot and Ankle LLC | Podiatrist | 4600 Military Trl, Suite 110, Jupiter, FL 33458-4810 | 2015-02-10 |
| 1043531379 | John Sarno | Dentist | 4600 Military Trl, Suite #114, Jupiter, FL 33458-4810 | 2010-06-22 |
| 1033347117 | Monica Janet Munoz | Internal Medicine | 4600 Military Trl, Suite 203, Jupiter, FL 33458-4810 | 2009-06-26 |
| 1134356991 | Plastic Surgery of Jupiter, P.a. | Military Health Care Provider | 4600 Military Trl, Suite 202, Jupiter, FL 33458-4810 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457957 | Jessica Rose Teeters | Nurse Practitioner | 3294 W Mallory Blvd, Jupiter, FL 33458-8771 | 2020-08-16 |
| 1730716739 | Summer Barron Reedy | Nurse Practitioner | 86 Fairview E, Jupiter, FL 33469-1905 | 2020-03-27 |
| 1689205791 | Janice Ann Dennis | Nurse Practitioner | 255 Murcia Dr Apt 102, Jupiter, FL 33458-2760 | 2020-01-28 |
| 1992348841 | Samantha Brooke Elsbree | Nurse Practitioner | 4537 Parkside Dr Apt 2006, Jupiter, FL 33458-5370 | 2019-10-23 |
| 1669024675 | Melissa Munter Mosley | Nurse Practitioner | 2500 Via Royale Apt 2501, Jupiter, FL 33458-7088 | 2019-07-10 |
| 1093376980 | Rosalie Magramo Del Valle | Nurse Practitioner | 7099 Limestone Cay Rd, Jupiter, FL 33458-3891 | 2019-06-22 |
| 1336621135 | Tricia Maccarthy | Nurse Practitioner | 6462 Robinson St, Jupiter, FL 33458-6629 | 2018-08-29 |
| 1669901401 | Brandi Bivens | Nurse Practitioner | 4600 Military Trl Ste 115, Jupiter, FL 33458-4811 | 2017-06-06 |
| 1316343874 | Gloria Hazel | Nurse Practitioner | 17042 Bush Rd, Jupiter, FL 33458-5525 | 2014-11-11 |
| 1730583899 | Victoria Zimmer | Nurse Practitioner | 10220 153rd Ct N, Jupiter, FL 33478-6820 | 2014-10-18 |
| Find all providers in JUPITER | ||||
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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.