Levi Abraham Spittle

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

126484 Issued in MN

Practice address

1221 E Main St
Marshall, MN 56258-2582

Phone

(507) 532-9198

NPI assigned

Jul 5, 2024

Last updated

Jul 5, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1326884628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 50TH AVE",
            "city": "BALATON",
            "state": "MN",
            "postal_code": "561151117",
            "telephone_number": "507-329-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E MAIN ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582582",
            "telephone_number": "507-532-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITTLE",
        "first_name": "LEVI",
        "middle_name": "ABRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "126484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Minnesota Surgical Center, Inc.
• Southwest Ophthalmology Associates, P.a.
• Southwest Transportation, Inc.
• Southwestern Minnesota Adult Mental Health Consortium (Buffalo Ridge Assertive Community Treatment)
• Lyndsy Spencer, OTR/L
• Kaye Squires, M.S. CCC-SLP
• Rochelle Dawn Stark, M.D.
• Analisa Steffel, PHARMD, BCACP
• Jennifer Steinhaus, MA, OTR/L, ATP
• Diane Lori Stieper, MA LMFT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Marshall, MN
• Providers in Marshall, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.