Individual provider Active NPI

John T Spannuth, FNP

  • Family Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1053668707
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041.338786 Issued in IL
Practice address
1 Boone Road
Naval Hospital
Bremerton, WA 98312
Phone
(360) 475-4379
Fax
(360) 475-4646
NPI assigned
Aug 13, 2012
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 041.338786 IL Primary
Family Nurse Practitioner 363LF0000X AP60659217 WA

Addresses

Primary practice location

1 Boone Road
Naval Hospital
Bremerton, WA 98312

Mailing address

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (360) 475-4379

Other practice location 1

14508 NE 20th Ave
Vancouver, WA 98686-6424
Phone (360) 852-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221213002085 WA Practitioner - Nurse Practitioner 1052780087 Reassigns benefits to 2 organizations
I20240828003938 OR Practitioner - Nurse Practitioner 1052780087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health CentersGroup PAC ID 9739076217, shared by 6 NPIs, 31 clinicians
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700

118 S Pkwy Ave
Battle Ground, WA 98604-9215
Phone (360) 342-8060

716 1St Ave S
Okanogan, WA 98840-9679
Phone (509) 422-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.338786ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Jan 27, 2026 Accepting new patients
Icco, LLC Current Accepting new patients
Family Health Centers CurrentSince Jan 1, 2025 Accepting new patients
Family Health Centers CurrentSince Jan 1, 2025 Accepting new patients
Icco LLC CurrentSince Aug 4, 2024 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jan 27, 2026 Accepting new patients

Locations

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

445 Harlow Rd
Ste 100
Springfield, OR 97477
Phone (541) 228-3865

118 S Parkway Ave
Battle Ground, WA 98604
Phone (360) 342-8050

525 Jay Ave
Brewster, WA 98812
Phone (509) 689-3455

1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913

7410 Delaware Ln
Vancouver, WA 98664
Phone (360) 566-4402

Interoperability endpoints

  • Direct secure messaging: john.spannuth.1@19043.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1053668707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW MYHRE RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837663",
            "telephone_number": "360-475-4379",
            "fax_number": "360-475-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOONE ROAD",
            "address_2": "NAVAL HOSPITAL",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98312",
            "telephone_number": "360-475-4379",
            "fax_number": "360-475-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14508 NE 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986866424",
            "country_code": "US",
            "telephone_number": "360-852-9070",
            "fax_number": "360-397-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPANNUTH",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041.338786",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60659217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.