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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | CONNECTICUT APRN LICENSE | 003792 | 01 |
Street Address |
900 MADISON AVE SUITE 209 |
City | BRIDGEPORT |
State | CT |
Zip Code | 06606-5534 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 06606 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | BRIDGEPORT |
Zip Code | 06606 |
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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.