Active NPI
Virginia E Spears, MSN,BC,FNP
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1700977337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000552A
- Practice address
- 8101 Clearvista Pkwy
Suite 200
Indianapolis, IN 46256 - Phone
- (317) 621-5390
- Fax
- (317) 621-7885
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71000552A | IN | Primary |
Addresses
Primary practice location
8101 Clearvista Pkwy
Suite 200
Indianapolis, IN 46256
Mailing address
6626 E. 75TH Street
Suite 500
Indianapolis, IN 46250-2890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200378410 | Medicaid | IN |
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000552A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Heart Associates PC | Past | Accepting new patients | |
| Mindgent Healthcare Clinics, LLC | Past | Accepting new patients | |
| Low Cost RX Inc | Past | Accepting new patients | |
| Indiana Heart Associates PC | Past | Accepting new patients |
Interoperability endpoints
- v.spears@matrixcaredirect.com
Organizations & group practices 4
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.
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-
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1194876094
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1598716524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1700977337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E. 75TH STREET",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 CLEARVISTA PKWY",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46256",
"telephone_number": "317-621-5390",
"fax_number": "317-621-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "VIRGINIA",
"middle_name": "E",
"credential": "MSN,BC,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000552A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200378410",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.