Jessica J Spayd, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ANP677 Issued in AK

Practice address

16425 Brooks Loop
Eagle River, AK 99577-8027

Phone

(907) 622-4673

Fax

(907) 622-4672

NPI assigned

May 3, 2006

Last updated

Jun 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Eagle River Pain & Wellness, LLC

  • Nurse Practitioner
  • Eagle River, AK
  • NPI 1003255480
  Authorized official Same address or phone
• Jessica Spayd

  • Pain Medicine Physician
  • Eagle River, AK
  • NPI 1255465720
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1386602019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16425 BROOKS LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778027",
            "telephone_number": "907-622-4673",
            "fax_number": "907-622-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16425 BROOKS LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778027",
            "telephone_number": "907-622-4673",
            "fax_number": "907-622-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAYD",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "ANP677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295849446",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP9295",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.