Individual provider Active NPI

Brittany Spivey, APN,DNP-FNP

  • Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1063178648
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A166075 Issued in IA
Practice address
5041 Utica Ridge Rd Ste 100
Davenport, IA 52807-3480
Phone
(563) 359-9696
Fax
(563) 359-1730
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A166075 IA Primary

Addresses

Primary practice location

5041 Utica Ridge Rd Ste 100
Davenport, IA 52807-3480

Mailing address

545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560

Other practice location 1

545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20220218001584 IA Practitioner - Nurse Practitioner 8022402973 Reassigns benefits to 1 organization
I20220404000068 IL Practitioner - Nurse Practitioner 8022402973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Clinic of Quad Cities PCGroup PAC ID 6608768353, 9 clinicians

Practice addresses (Care Compare)

5041 Utica Ridge Rd
Suite 100
Davenport, IA 52807-3480
Phone 5633599696110

545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Clinic of Quad Cities, P.C. CurrentSince Jan 24, 2022 Accepting new patients

Locations

5041 Utica Ridge Rd
Ste 100
Davenport, IA 52807
Phone (563) 359-5490

545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180

4340 7th St
Moline, IL 61265
Phone (309) 277-5624

Interoperability endpoints

  • Direct secure messaging: brittany.spivey@qcg.directbygreenway.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1063178648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-762-5560",
            "fax_number": "309-277-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 UTICA RIDGE RD STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073480",
            "telephone_number": "563-359-9696",
            "fax_number": "563-359-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656138",
            "country_code": "US",
            "telephone_number": "309-762-5560",
            "fax_number": "309-277-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "BRITTANY",
        "credential": "APN,DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A166075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.