Active NPI
Stevie Nichole Spurlin, PA
- Physician Assistant
- Pueblo, CO
National Provider Identifier
1487168340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1120 Minnequa Ave
Pueblo, CO 81004-3734 - Phone
- (719) 281-3285
- Fax
- (719) 281-4630
- NPI assigned
- Nov 29, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1120 Minnequa Ave
Pueblo, CO 81004-3734
Mailing address
75 Printers Pkwy Ste 200
Colorado Springs, CO 80910-3142
Phone (303) 993-5651
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Primary Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Englewood, CO
- NPI 1356962849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1487168340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PRINTERS PKWY STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103142",
"telephone_number": "303-993-5651",
"fax_number": "303-552-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 MINNEQUA AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043734",
"telephone_number": "719-281-3285",
"fax_number": "719-281-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPURLIN",
"first_name": "STEVIE",
"middle_name": "NICHOLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.