Individual provider Active NPI

John Benjamin Spiers III, ARNP

  • Primary Care Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1184624116
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP-9193281 Issued in FL
Practice address
1900 27TH St
Vero Beach, FL 32960-3383
Phone
(772) 794-7400
Fax
(772) 770-6116
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP-9193281 FL Primary

Addresses

Primary practice location

1900 27TH St
Vero Beach, FL 32960-3383

Mailing address

1900 27TH St
Vero Beach, FL 32960-3383
Phone (772) 794-7400

Other identifiers 1

IdentifierTypeStateIssuer
001547600MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
ARNP-9193281FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1184624116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 27TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603383",
            "telephone_number": "772-794-7400",
            "fax_number": "772-770-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 27TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603383",
            "telephone_number": "772-794-7400",
            "fax_number": "772-770-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIERS",
        "first_name": "JOHN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP-9193281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001547600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.