MS. JUDITH IDA SPICER CRNP NPI 1952463549

NPI Information

NPI: 1952463549
Provider Name: MS. JUDITH IDA SPICER, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
12011 LEE JACKSON MEMORIAL HWY
KAISER PERMANENTE PENDERBROOK MEDICAL CENTER
FAIRFAX, VA
ZIP 22033
Phone: (703) 383-5407
Get Directions

MS. Judith Ida Spicer, CRNP is a family nurse practitioner in Fairfax, VA. MS. Judith Ida Spicer, CRNP NPI is 1952463549. 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:

12011 LEE JACKSON MEMORIAL HWY
KAISER PERMANENTE PENDERBROOK MEDICAL CENTER
FAIRFAX, VA
ZIP 22033-310
Phone: (703) 383-5407
Fax: (703) 383-5489

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/6/2012.

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
1	363LF0000X	Nurse Practitioner	Family	0001083670	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	0024164531	VIRGINIA	Yes

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
1	014469K92	MEDICARE ID-TYPE UNSPECIFIED
2	P19179	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »