Active NPI
Stephen Anthony Spears, RN
- Registered Nurse
- Rio Rancho, NM
National Provider Identifier
1538860994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 54135
- Practice address
- 1550 Bridger Rd NE
Rio Rancho, NM 87144-1579 - Phone
- (505) 850-5305
- NPI assigned
- Mar 13, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 54135 | NM | Primary |
Addresses
Primary practice location
1550 Bridger Rd NE
Rio Rancho, NM 87144-1579
Mailing address
6101 Sequoia Rd NW Apt L5
Albuquerque, NM 87120-3435
Phone (540) 809-4984
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54135 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1538860994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 SEQUOIA RD NW APT L5",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871203435",
"telephone_number": "540-809-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 BRIDGER RD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871441579",
"telephone_number": "505-850-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "STEPHEN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "54135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.