MS. JUDITH IDA SPICER CRNP NPI 1952463549

NPI Information

  • NPI: 1952463549
  • Provider Name: MS. JUDITH IDA SPICER, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 12011 LEE JACKSON MEMORIAL HWY
    KAISER PERMANENTE PENDERBROOK MEDICAL CENTER
    FAIRFAX, VA
    ZIP 22033
  • Phone: (703) 383-5407

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NPI Details

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
1363LF0000XNurse PractitionerFamily0001083670VIRGINIANo
2363LF0000XNurse PractitionerFamily0024164531VIRGINIAYes

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
1014469K92MEDICARE ID-TYPE UNSPECIFIED
2P19179MEDICARE 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: 11/21/2025

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