Spectrum Health Care

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

SPECTRUM HEALTH CARE

Practice address

1123 Wilkes Blvd Ste 110
Columbia, MO 65201-4774

Phone

(573) 514-7312

Fax

(573) 242-6427

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Shawna Woofter

Title

Program Manager

Phone

(573) 514-7312

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Rain-Central Missouri Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rain-Central Missouri, Inc.

  • Community Health Clinic/Center
  • Columbia, MO
  • NPI 1720407505
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Anne Allemann, MD

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1912046178
  Medicare reassignment Care Compare group NPD
• Ashley Suzanne Millham, M.D.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1306132808
  Medicare reassignment Care Compare group NPD
• Dustin Debourge, MSN, AGNP-BC

  • Gerontology Nurse Practitioner
  • Columbia, MO
  • NPI 1720688914
  Medicare reassignment NPD
• Zorina Marie Pina-Hauan, R.N.,M.S.N.,F.N.P.

  • Family Nurse Practitioner
  • Fulton, MO
  • NPI 1386813855
  Medicare reassignment NPD
• Sarah K Dunn, DO

  • Hospitalist Physician
  • Kingsport, TN
  • NPI 1831291517

  MO

  Medicare reassignment NPD
• Jemese Drewery, LCSW

  • Social Worker
  • Columbia, MO
  • NPI 1437591070
  NPD (past)

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1063785442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 WILKES BLVD STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014774",
            "telephone_number": "573-514-7312",
            "fax_number": "573-242-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 WILKES BLVD STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014774",
            "telephone_number": "573-514-7312",
            "fax_number": "573-242-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2024-01-05",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "WOOFTER",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "573-514-7312"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063785442",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Sparks, MSW, LCSW
• Vince Spears, PLPC
• Specialty Surgical Services
• Victoria Specketer
• Laura Speckhals, OTR/L
• Spectrum of Hope LLC
• Ella Dominique Speichinger, M.D.
• Bradley Scott Spence, MD
• Kayla Mary Spence
• Katherine Spencer, LCSW

• Public Health or Welfare Agency in Columbia, MO
• Providers in Columbia, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.