William Fred Spears III, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A004784 Issued in AR

Practice address

112 N Main St
Benton, AR 72015-3765

Phone

(501) 778-5740

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Arkansas Health Group

  dba Baptist Health - Colorectal Surgery

  • Colon & Rectal Surgery Physician
  • Little Rock, AR
  • NPI 1336462332
  Medicare reassignment NPD
• Arkansas Health Group

  dba Baptist Health Family Clinic Otter Creek

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1649518333
  NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1144672825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153765",
            "telephone_number": "501-778-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153765",
            "telephone_number": "501-778-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "WILLIAM",
        "middle_name": "FRED",
        "name_suffix": "III",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A004784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Charm Senior Living LLC (Southern Charm Senior Services)
• Southwest Emergency Associates (Hma Southwest Regional Medical Center)
• Mary Souvanna
• Jennifer Sowell, RECOVERY ASSISTANT
• Lauren C Sparks
• Chase Specht
• Stephen Michael Speck, M.D.
• Courtney Nicole Speights, BA, COTA
• Dawn Spencer, RECOVERY ASSISTANT
• Marlo Spivey, RECOVERY ASSISTANT

• Adult Health Nurse Practitioner in Benton, AR
• Providers in Benton, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.