Active NPI
Jeanne Frances Speir, N.P.
- Family Nurse Practitioner
- Eastport, NY
National Provider Identifier
1437101532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 232044-1
- Practice address
- 21 Eastport Manor Rd
Eastport, NY 11941-1410 - Phone
- (631) 325-2255
- Fax
- (631) 325-8562
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 232044-1 | NY | Primary |
Addresses
Primary practice location
21 Eastport Manor Rd
Eastport, NY 11941-1410
Mailing address
21 Eastport Manor Rd
Eastport, NY 11941-1410
Phone (631) 325-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02364469 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330311 | NY | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| 232044-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| R&T Medical PC | Past | Accepting new patients |
Interoperability endpoints
- jeanne.speir@direct.stonybrookmedicine.edu
- jeanne.speir.p1@direct.shproviders.nextgenshare.com
- jeanne.speir.p8@direct.shproviders.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Family Medicine Physician
- East Patchogue, NY
- NPI 1093066953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1437101532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 EASTPORT MANOR RD",
"city": "EASTPORT",
"state": "NY",
"postal_code": "119411410",
"telephone_number": "631-325-2255",
"fax_number": "631-325-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 EASTPORT MANOR RD",
"city": "EASTPORT",
"state": "NY",
"postal_code": "119411410",
"telephone_number": "631-325-2255",
"fax_number": "631-325-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEIR",
"first_name": "JEANNE",
"middle_name": "FRANCES",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "232044-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02364469",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eastport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.