Individual provider Active NPI

Garrett Christopher Spann, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1609431824
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225219 Issued in AZ
Practice address
2451 E Baseline Rd Ste 310
Gilbert, AZ 85234-2465
Phone
(480) 351-7151
NPI assigned
May 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 225219 AZ Primary

Addresses

Primary practice location

2451 E Baseline Rd Ste 310
Gilbert, AZ 85234-2465

Mailing address

3954 S Whitman Cir
Mesa, AZ 85212-2528
Phone (480) 416-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200122002997 AZ Practitioner - Nurse Practitioner 4688909625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2451 E Baseline Rd
Suite 310
Gilbert, AZ 85234-2465
Phone (480) 351-7151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
225219AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Arizona Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Dispatchhealth-Arizona Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Good Health Medical, PLLC CurrentSince Dec 17, 2019 Accepting new patients
Lifespann Enhanced Skin & Body Care, PLLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Good Health Medical, PLLC Single Specialty Current Accepting new patients
Good Health Medical, PLLC CurrentSince Dec 17, 2019 Accepting new patients
Livn, P.C. Single Specialty Past Accepting new patients

Locations

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

2451 E Baseline Rd
Ste 310
Gilbert, AZ 85234
Phone (480) 351-7151

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • Direct secure messaging: gspann@lesabcp-az.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJDHDD/Endpoint/BJDHDD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1609431824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 S WHITMAN CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122528",
            "telephone_number": "480-416-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 310",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342465",
            "telephone_number": "480-351-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "GARRETT",
        "middle_name": "CHRISTOPHER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "225219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.