Individual provider Active NPI

Amanda Spezia, APN

  • Nurse Practitioner
  • Danville, IL
National Provider Identifier
1588083844
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209011231 Issued in IL
Practice address
610 N Gilbert St Ste a
Danville, IL 61832-3903
Phone
(217) 213-6241
Fax
(217) 213-6258
NPI assigned
Apr 15, 2014
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209011231 IL Primary
Primary Care Nurse Practitioner 363LP2300X 277002760 IL

Addresses

Primary practice location

610 N Gilbert St Ste a
Danville, IL 61832-3903

Mailing address

610 N Gilbert St Ste a
Danville, IL 61832-3903
Phone (217) 213-6241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811002180 IL Practitioner - Nurse Practitioner 0042437386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 N Gilbert St
Suite a
Danville, IL 61832-3903
Phone (217) 213-6241

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209011231ILMDNurse Practitioner
277002760ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Full Access Care LLC CurrentSince Oct 18, 2024 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

610 N Gilbert St
Ste A
Danville, IL 61832
Phone (217) 213-6241

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1588083844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N GILBERT ST STE A",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323903",
            "telephone_number": "217-213-6241",
            "fax_number": "217-213-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GILBERT ST STE A",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323903",
            "telephone_number": "217-213-6241",
            "fax_number": "217-213-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEZIA",
        "first_name": "AMANDA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011231",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "277002760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.