Krista S Spear

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

550 S. Jackson St.
2ND Floor Acb, Department of Surgery
Louisville, KY 40202

Phone

(734) 904-3004

NPI assigned

Mar 28, 2023

Reactivated

Apr 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1649974122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S. JACKSON ST.",
            "address_2": "2ND FLOOR ACB, DEPARTMENT OF SURGERY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S. JACKSON ST.",
            "address_2": "2ND FLOOR ACB, DEPARTMENT OF SURGERY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "734-904-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose Street Mn 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405060001",
            "country_code": "US",
            "telephone_number": "734-904-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEAR",
        "first_name": "KRISTA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "deactivation_date": "2024-03-18",
        "reactivation_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Justin Speak, PHARM.D.
• Erik Dajuan Speaks, BS
• Whitney Dawn Spear Branstetter, DNP
• Calvin Spear, OT
• Douglas J Spear, MA CCC A
• Megan Spear
• Jennifer Lauren Spearman, DPT
• Adreanna Bartholome Spears, PSY.D.
• Amy Spears, PHARMD, BCPS
• Donna R Spears, APN

• Student in an Organized Health Care Education/Training Program in Louisville, KY
• Providers in Louisville, KY by specialty
• Student in an Organized Health Care Education/Training Program in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.