Individual provider Active NPI

Cynthia Christine Spears

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1669818167
Registry record updated May 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000636 Issued in DE
Practice address
1301 E 12TH St
Wilmington, DE 19802-5315
Phone
(302) 429-7771
NPI assigned
May 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000636 DE Primary

Addresses

Primary practice location

1301 E 12TH St
Wilmington, DE 19802-5315

Mailing address

215 Suburban Dr
Elkton, MD 21921-5676

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0000636DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Delaware, LLC CurrentSince Dec 12, 2016 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 11, 2018 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 11, 2018 Accepting new patients

Locations

500 S Broad St
Middletown, DE 19709
Phone (302) 449-3400

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368316800000",
    "number": "1669818167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SUBURBAN DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 12TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198025315",
            "telephone_number": "302-429-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "CYNTHIA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-12",
        "last_updated": "2013-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2013; 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.