Active NPI
Sharon E Spethman, PA-C
- Physician Assistant
- Lincoln, NE
National Provider Identifier
1003224650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1830
- Practice address
- 1500 U St
Lincoln, NE 68588-1281 - Phone
- (402) 472-5000
- Fax
- (402) 472-8010
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1830 | NE | Primary |
Addresses
Primary practice location
1500 U St
Lincoln, NE 68588-1281
Mailing address
7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone (402) 484-6677
Other practice location 1
7701 Preserve Ln
(Mark D. Heibel, M.D. Dermatology)
Lincoln, NE 68516-4473
Phone (402) 488-6969
Other names 1
- Miss Sharon E Fournier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1830 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgical Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- sspethman@directaddress.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Lincoln, NE
- NPI 1417952995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1003224650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 PIONEERS BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685064675",
"telephone_number": "402-484-6677",
"fax_number": "402-484-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 U ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685881281",
"telephone_number": "402-472-5000",
"fax_number": "402-472-8010"
}
],
"practiceLocations": [
{
"address_1": "7701 Preserve Ln",
"address_2": "(Mark D. Heibel, M.D. Dermatology)",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685164473",
"country_code": "US",
"telephone_number": "402-488-6969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPETHMAN",
"first_name": "SHARON",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "FOURNIER",
"middle_name": "E",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.