Active NPIIndividual provider

Kiyasha L Spencer, NP

Nurse Practitioner, Obstetrics & Gynecology in Bronx, New York

NPI Number1710573126
Practice location
234 E 149TH St, Bronx, NY 10451-5589
Fax
—
Last updated
December 19, 2020

Kiyasha Latonya Spencer is a Nurse Practitioner, Obstetrics & Gynecology based in Bronx, NY. Kiyasha Latonya Spencer practices in Bronx, NY and has the professional credentials of NP. The NPI Number for Kiyasha Latonya Spencer is 1710573126 and holds a License No. F339902-1 (NY). The current practice location address for Kiyasha Latonya Spencer is 234 E 149TH St, Bronx, NY 10451-5589 and can be reached out via phone at 718-579-5000.

Provider Profile Details

NPI Number
1710573126
Provider Name
Kiyasha Latonya Spencer
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
234 E 149TH St, Bronx, NY 10451-5589
Phone Number
718-579-5000
Primary Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X
Sole Proprietor
No
Provider Enumeration Date
December 19, 2020
Last Update Date
December 19, 2020
Certification Date
December 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
234 E 149TH St
Bronx, NY 10451-5589
City
Bronx
Zip
10451-5589
Phone Number
718-579-5000
Bronx, NY 10451Get directions →

Provider Business Mailing Address Details

Address
6111 Fillmore Pl Apt 407
West New York, NJ 07093-2967
City
West New York
State
NJ
Zip
07093-2967
Phone Number
917-415-7844

License Information

License Number
F339902-1
License State
NY
Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X · 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 Kiyasha L Spencer, NP?

The NPI number of Kiyasha L Spencer, NP is 1710573126. It was assigned on December 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Kiyasha L Spencer, NP?

Kiyasha L Spencer, NP is registered under the primary taxonomy Nurse Practitioner, Obstetrics & Gynecology (code 363LX0001X), licensed in NY under license number F339902-1.

Where does Kiyasha L Spencer, NP practice?

The practice location is 234 E 149TH St, Bronx, NY 10451-5589. The office can be reached at 718-579-5000 (phone).

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 1710573126 directly on the NPPES registry website.

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