MR. KENNETH LEE SPENCE (NPI# 1952301954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952301954 |
| Entity Type | Individual |
| Full Name | MR. KENNETH LEE SPENCE |
| Credential | CRNA |
| Practice Address |
1600 University Dr E College Station TX 77840-2642 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9796913300 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 604745 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 0024166403 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578765582 | Kenneth R Spence | Dentist | 2700 Earl Rudder Fwy S, Suite 1900, College Station, TX 77845-5010 | 2007-06-01 |
| Street Address |
1600 UNIVERSITY DR E |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239062 | D. Brent Glamann | Internal Medicine | 1600 University Dr E, College Station, TX 77840-2642 | 2006-03-23 |
| 1508290818 | Emily Worthy | Psychologist | 1600 University Dr E, College Station, TX 77840-2642 | 2013-08-23 |
| 1447697487 | Kristin Massicot Smith | Nurse Anesthetist, Certified Registered | 1600 University Dr E, College Station, TX 77840-2642 | 2013-05-31 |
| 1750640488 | Gregory Keith Propst Jr. | Physical Therapist | 1600 University Dr E, College Station, TX 77840-2642 | 2012-05-15 |
| 1861751596 | Lindsey Colleen Propst | Physical Therapist | 1600 University Dr E, College Station, TX 77840-2642 | 2012-05-15 |
| 1871889618 | Creighton Gerald Wilson Jr. | Nurse Practitioner | 1600 University Dr E, College Station, TX 77840-2642 | 2011-06-21 |
| 1124253695 | Nerissa Sookermany-mahon | Speech-Language Pathologist | 1600 University Dr E, College Station, TX 77840-2642 | 2009-05-27 |
| 1215184890 | Megan D Szyhowski | Physical Therapist | 1600 University Dr E, College Station, TX 77840-2642 | 2008-08-26 |
| 1730340092 | Jacquelyn Rose Covington | Internal Medicine | 1600 University Dr E, College Station, TX 77840-2642 | 2008-06-19 |
| 1912168279 | Bill Ray Covington | Internal Medicine | 1600 University Dr E, College Station, TX 77840-2642 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265256 | Cody Rapp | Nurse Anesthetist, Certified Registered | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2020-01-29 |
| 1801383930 | Ross Hunter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-04-14 |
| 1184130080 | Steven Christian Piwonka | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-14 |
| 1831616440 | Richard Torio | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-08-24 |
| 1508396250 | Jeffrey Barrett Moore | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-06-15 |
| 1528512662 | Lisa Carter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2016-08-05 |
| 1275915613 | Stephanie K Moore | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2015-06-22 |
| 1447697487 | Kristin Massicot Smith | Nurse Anesthetist, Certified Registered | 1600 University Dr E, College Station, TX 77840-2642 | 2013-05-31 |
| 1700220795 | Gonzalo Bautista Jr. | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2013-04-22 |
| 1295008571 | Joselle Lewis-band | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2012-02-16 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
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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.