Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Leann Spencer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811769797

Carissa Leann Spencer is a Student in an Organized Health Care Education/Training Program in Pocatello, Idaho. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1110 E Halliday St
Pocatello, ID 83201-4824
Phone: (208) 860-8987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811769797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

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