NICHOLAS SPENCER OTR/L
NPI 1740743459
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gatewood, MO

Q: What is Nicholas Spencer's NPI number?

The NPI number for Nicholas Spencer is 1740743459. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Nicholas Spencer's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Spencer was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2019

3570 RIPLEY EE-2, GATEWOOD, MO 63942(573) 255-3347 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2024, Apr 9, 2019 (2 updates tracked since 2019).

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About Nicholas Spencer Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS SPENCER OTR/L (NPI 1740743459) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Gatewood, Missouri, licensed in Missouri (2018031484) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1740743459

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameNICHOLAS SPENCERCredential: OTR/L

Location Address3570 RIPLEY EE-2Gatewood, MO 63942-9034

Mailing Address3570 Ripley Ee-2Gatewood, MO 63942-9034 · (573) 255-3347

Phone(573) 255-3347

Sole ProprietorYes

Enumeration DateApril 9, 2019

Last NPPES UpdateJune 4, 20242 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1740743459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in MO · 2018031484

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3570 RIPLEY EE-2, Gatewood, MO 63942

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Spencer's NPI number?

The NPI number for Nicholas Spencer is 1740743459. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Nicholas Spencer located?

Nicholas Spencer practices at 3570 Ripley Ee-2, Gatewood, MO 63942. The listed phone number is (573) 255-3347.

What is Nicholas Spencer's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Nicholas Spencer was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.