LISA M SPICER


Address: 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534
Phone: 2033350195

LISA M SPICER (NPI# 1962679969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962679969
Entity Type Individual
Full Name LISA M SPICER
Credential ANP-BC
Practice Address 900 Madison Ave
Suite 209
Bridgeport
CT 06606-5534
Practice Telephone 2033350195
Mailing Telephone 2033350195
Enumeration Date 2008-05-09
Last Update Date 2015-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 003792 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
003792 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT CONNECTICUT APRN LICENSE 003792 01

Office Location

Street Address 900 MADISON AVE
SUITE 209
City BRIDGEPORT
State CT
Zip Code 06606-5534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215936083 Paul Barry Nussbaum Internal Medicine 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 2005-07-14
1316322696 Rachel Heggland Nurse Practitioner 900 Madison Ave, Ste 209, Bridgeport, CT 06606 2015-07-28
1548437148 Aaron Matthew Dommu Internal Medicine 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 2008-05-13
1578512323 Mahalia T Dejesus Nurse Practitioner 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 2006-05-09
1609825223 Nephrology Associates, PC Nurse Practitioner 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 2006-05-09
1508831314 Dva Healthcare Renal Care Inc Clinic/Center 900 Madison Ave, Ste 221, Bridgeport, CT 06606-5534 2006-02-23
1396737870 Robert Chai Kim Internal Medicine 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 2005-08-19
1609875491 James Patrick Gavin Internal Medicine 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 2005-07-14
1902805773 Irwin David Feintzeig Internal Medicine 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 2005-07-14
1003815887 Mitchell Andrew Fogel Internal Medicine 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 2005-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1578192001 Karin Alexandra Skalina Student in an Organized Health Care Education/Training Program 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 2020-04-06
1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588979413 Theresa M Soltis Nurse Practitioner 2979 Main Street, Bridgeport, CT 06606 2010-08-16
1962913228 Catherine Phyllis Cuteri Nurse Practitioner 2800 Main St, Bridgeport, CT 06606-4201 2017-10-13
1326565342 Monika Jean Maclean Nurse Practitioner 46 Albion St, Bridgeport, CT 06605-2602 2017-08-30
1891199980 Elisabeth Henvy Nurse Practitioner 226 Mill Hill Ave, Bridgeport, CT 06610-2826 2014-10-17
1700187192 Amelita L Richard Nurse Practitioner 2800 Main St, Bridgeport, CT 06606-4201 2010-11-16
1659520153 Deborah Brown Nurse Practitioner 2800 Main St, Bridgeport, CT 06606-4201 2008-09-09
1073547568 Patricia Ann O'neill Nurse Practitioner 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750997847 Rachel Sarmento Nurse Practitioner 13 Sanford Dr, Shelton, CT 06484-5507 2020-09-23
1699399618 Ann Monica Boisvert Nurse Practitioner 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 2020-06-05
1861041121 Huong T Nguyen Nurse Practitioner 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 2019-09-10
1598319980 Daniella Gould Nurse Practitioner 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 2019-07-24
1770042038 Linda Lee Meyer Nurse Practitioner 320 Lakeview Ave, Waterbury, CT 06705-2145 2019-03-17
1942766761 Lawrence M Anderson Nurse Practitioner 92 Harwood Rd, Waterbury, CT 06706-2420 2019-02-17
1912497751 Catherine Rice Nurse Practitioner 25 Commerce Rd, Newtown, CT 06470-1607 2018-05-17
1407346323 Irene D Gumboc Nurse Practitioner 99 Starr St, Norwich, CT 06360-4025 2018-05-16
1326546839 Kristin Holly Van Horn Nurse Practitioner Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 2018-01-30
1891207411 Michelene Wray Nurse Practitioner 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 2017-11-05
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Competitor

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City BRIDGEPORT
Zip Code 06606

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Dataset Information

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.

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