Active NPI
Sharon Kay Spanbauer, FNP-BC
- Family Nurse Practitioner
- Adrian, MI
National Provider Identifier
1487657110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704179286
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5008767670 | Other | MI | BLUE 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adrian Dominican Sisters, Inc. | Current | 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.
-
- Clinic/Center
- Adrian, MI
- NPI 1629618301
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.