Susan Elaine Spear, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3931 Issued in AZ

Practice address

1090 Commerce Dr
Prescott, AZ 86305

Phone

(928) 583-1000

Fax

(866) 323-8458

NPI assigned

Jul 7, 2005

Last updated

Aug 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Susan Elaine Erb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Yavapai Guidance Clinic

  dba Polara Health

  • Clinic/Center
  • Camp Verde, AZ
  • NPI 1538878186
  NPD
• West Yavapai Guidance Clinic, Inc

  dba Polara Health

  • Psychiatric Hospital
  • Prescott, AZ
  • NPI 1952550071
  NPD
• West Yavapai Guidance Clinic, Inc.

  dba Haddon House

  • Mental Illness Community Based Residential Treatment Facility
  • Prescott, AZ
  • NPI 1033163514
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1043217755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 FOREST HILLS RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035508",
            "telephone_number": "480-398-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-583-1000",
            "fax_number": "866-323-8458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 S Brian Mickelsen Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863263610",
            "country_code": "US",
            "telephone_number": "928-639-8132",
            "fax_number": "866-279-8919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3212 N Windsong Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142255",
            "country_code": "US",
            "telephone_number": "928-583-1000",
            "fax_number": "866-751-4157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEAR",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP FURNISHING 12516",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "3931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ERB",
            "middle_name": "ELAINE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southwestern Medical Centers Inc - Az (Thumb Butte Outpatient Rehab Clinic)
• Southwestern Medical Centers-Az, Inc. (Peppertree Assisted Living Apartments)
• Marcia Sovey, RN
• Daryl Sparks, PSY.D.
• Spartan Recovery Life LLC
• Spectrum Healthcare Group, Inc
• Spectrum Healthcare Group, Inc
• Spectrum Healthcare Group, Inc
• Spectrum Healthcare Group, Inc
• Colleen J Speidell, FNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.