LEXIE ANN KOOP-SPENCER RN NP NPI 1497475842

NPI Information

  • NPI: 1497475842
  • Provider Name: LEXIE ANN KOOP-SPENCER, RN, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2600 GREENBUSH ST
    LAFAYETTE, IN
    ZIP 47904
  • Phone: (765) 448-8000

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NPI Details

Lexie Ann Koop-spencer, RN, NP is a psychiatric/mental health nurse practitioner in Lafayette, IN with 2 years of experience. Lexie Ann Koop-spencer, RN, NP NPI is 1497475842. 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:

2600 GREENBUSH ST
LAFAYETTE, IN
ZIP 47904-477
Phone: (765) 448-8000

The NPI 1497475842 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 enumeration date for this NPI number is 8/29/2022 and was last updated on 9/13/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health71014156AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300082391MEDICAIDINDIANA
21103714156OTHERINDIANAANTHEM PTAN
3815500594OTHERINDIANAMEDICARE PTAN

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: 3/30/2025

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