KIMBERLY A SPENCER CNP NPI 1588684740

NPI Information

  • NPI: 1588684740
  • Provider Name: KIMBERLY A SPENCER, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25716 WILSON ST
    COOLVILLE, OH
    ZIP 45723
  • Phone: (740) 846-0008

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NPI Details

Kimberly A Spencer, CNP is a family nurse practitioner in Coolville, OH with 22 years of experience. Kimberly A Spencer, CNP NPI is 1588684740. 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:

25716 WILSON ST
COOLVILLE, OH
ZIP 45723-153
Phone: (740) 846-0008
Fax: (740) 846-0098

The NPI 1588684740 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 7/20/2006 and was last updated on 8/6/2013.

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
1363LF0000XNurse PractitionerFamilyNP07474OHIOYes

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
1Q05375MEDICARE UPINOHIO
2H103440MEDICARE PINOHIO
32462446MEDICAIDOHIO
4H103441MEDICARE PINOHIO
5SPNP14772MEDICARE ID-TYPE UNSPECIFIEDOHIO

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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