Active NPIIndividual provider

Jessica K Spivey, C-NP, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Lakeville, Massachusetts

NPI Number1144093626
Practice location
104 Charles Eldridge RD Ste 6, Lakeville, MA 02347-1388
Fax
508-644-0599
Last updated
May 21, 2025

Jessica Kristina Spivey is a Nurse Practitioner, Psych/Mental Health based in Lakeville, MA. Jessica Kristina Spivey practices in Lakeville, MA and has the professional credentials of C-NP, PMHNP-BC. The NPI Number for Jessica Kristina Spivey is 1144093626 and holds a License No. RN2269941 (MA). The current practice location address for Jessica Kristina Spivey is 104 Charles Eldridge RD Ste 6, Lakeville, MA 02347-1388 and can be reached out via phone at 508-886-3921 and via fax at 508-644-0599.

Provider Profile Details

NPI Number
1144093626
Provider Name
Jessica Kristina Spivey
Credential
C-NP, PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
104 Charles Eldridge RD Ste 6, Lakeville, MA 02347-1388
Phone Number
508-886-3921
Fax Number
508-644-0599
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
November 6, 2023
Last Update Date
May 21, 2025
Certification Date
May 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Charles Eldridge RD Ste 6
Lakeville, MA 02347-1388
Zip
02347-1388
Phone Number
508-886-3921
Fax Number
508-644-0599
Lakeville, MA 02347Get directions →

Provider Business Mailing Address Details

Address
359 Russells Mills RD
South Dartmouth, MA 02748-1222
City
South Dartmouth
State
MA
Zip
02748-1222
Phone Number
508-971-1802

License Information

License Number (1)
RN2269941
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2269941
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica K Spivey, C-NP, PMHNP-BC?

The NPI number of Jessica K Spivey, C-NP, PMHNP-BC is 1144093626. It was assigned on November 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Jessica K Spivey, C-NP, PMHNP-BC?

Jessica K Spivey, C-NP, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2269941.

Where does Jessica K Spivey, C-NP, PMHNP-BC practice?

The practice location is 104 Charles Eldridge RD Ste 6, Lakeville, MA 02347-1388. The office can be reached at 508-886-3921 (phone) or 508-644-0599 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144093626 directly on the NPPES registry website.

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