Individual provider Active NPI

Sharon Kay Spanbauer, FNP-BC

  • Family Nurse Practitioner
  • Adrian, MI
National Provider Identifier
1487657110
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704179286 Issued in MI
Practice address
1247 E Siena Heights Dr
Adrian, MI 49221
Phone
(517) 264-7190
Fax
(517) 264-7756
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704179286 MI Primary

Addresses

Primary practice location

1247 E Siena Heights Dr
Adrian, MI 49221

Mailing address

1257 E Siena Heights Dr
Adrian, MI 49221-1755
Phone (517) 264-7190

Other identifiers 1

IdentifierTypeStateIssuer
5008767670OtherMIBLUE CROSS/BLUE SHLD PIN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Dominican Sisters, Inc. CurrentSince Jan 12, 2020 Accepting new patients

Locations

1257 E Siena Heights Dr
Adrian, MI 49221
Phone (517) 266-3400

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1487657110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 E SIENA HEIGHTS DR",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211755",
            "telephone_number": "517-264-7190",
            "fax_number": "517-264-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 E SIENA HEIGHTS DR",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "49221",
            "telephone_number": "517-264-7190",
            "fax_number": "517-264-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANBAUER",
        "first_name": "SHARON",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704179286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHLD PIN",
            "identifier": "5008767670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.