KATHLEEN SPETA FNP NPI 1083970529

NPI Information

  • NPI: 1083970529
  • Provider Name: KATHLEEN SPETA, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15 LODER ST
    191 NORTH MAIN STREET
    WELLSVILLE, NY
    ZIP 14895
  • Phone: (585) 596-4129

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NPI Details

Kathleen Speta, FNP is a family nurse practitioner in Wellsville, NY with 15 years of experience. Kathleen Speta, FNP NPI is 1083970529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 LODER ST
191 NORTH MAIN STREET
WELLSVILLE, NY
ZIP 14895-112
Phone: (585) 596-4129
Fax: (585) 596-0653

The NPI 1083970529 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 4/10/2012 and was last updated on 11/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral PracticeF3370711NEW YORKNo
2363LF0000XNurse PractitionerFamilyF3370711NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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