CAROLE SUZANNE LUCIE SPAKE MD
NPI 1932789385
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is Carole Spake's NPI number?

The NPI number for Carole Spake is 1932789385. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Q: What is Carole Spake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Carole Spake was last updated on June 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2021PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carole Suzanne Lucie Spake Md NPPES

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

CAROLE SUZANNE LUCIE SPAKE MD (NPI 1932789385) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (LP05684) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1932789385

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCAROLE SUZANNE LUCIE SPAKECredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address389 Benefit St Apt 2Providence, RI 02903-2945

Phone(401) 444-4000

Sole ProprietorNo

Enumeration DateApril 10, 2021

Last NPPES UpdateJune 13, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1932789385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in RI · LP05684

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPlastic SurgeryTaxonomy 208200000X · License LP05684 (RI)

593 EDDY ST, Providence, RI 02903

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Secondary Practice Location 1

Location 1389 Benefit St Apt 2Providence, RI 02903-2945 · Phone (401) 855-4472

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carole Suzanne Lucie Spake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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