Individual provider Active NPI

Reuben Darius Spearman Sr.

  • Student in an Organized Health Care Education/Training Program
  • Indianapolis, IN
National Provider Identifier
1144958596
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1515 N Post Rd # a
Indianapolis, IN 46219-4213
Phone
(317) 282-3088
Fax
(317) 295-2555
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1515 N Post Rd # a
Indianapolis, IN 46219-4213

Mailing address

2927 N Colorado Ave
Indianapolis, IN 46218-3116
Phone (317) 373-8320

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Americanbehavioralcounseling@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1144958596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 N COLORADO AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462183116",
            "telephone_number": "317-373-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N POST RD # A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194213",
            "telephone_number": "317-282-3088",
            "fax_number": "317-295-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARMAN",
        "first_name": "REUBEN",
        "middle_name": "DARIUS",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Americanbehavioralcounseling@gmail.com",
            "affiliation": "N",
            "address_1": "1515 N Post Rd # A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462194213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.