Anita R Spivey, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11036237 Issued in FL

Practice address

415 E Noble Ave
Bushnell, FL 33513-5603

Phone

(352) 569-3102

Fax

(352) 793-6067

NPI assigned

May 23, 2007

Reactivated

Nov 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Bushnell, FL
  • NPI 1184688947
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1710197074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E NOBLE AVE",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335135603",
            "telephone_number": "813-505-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E NOBLE AVE",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335135603",
            "telephone_number": "352-569-3102",
            "fax_number": "352-793-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "ANITA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "deactivation_date": "2024-11-05",
        "reactivation_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9210547",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda W. Seals, DC
• Sheridan Emergency Physician Services Inc
• Sonlife Prosthetics & Orthotics
• Kassandra Renee Sorokach, L. AP, DIP. OM
• Lizeida Soto
• Splendidly Made LLC
• Sports and Orthopedic Rehabilitation Services, Inc.
• Stay-at-Home Home Health Care, Inc.
• Vanessa Kelly Stewart
• Stobidek, Inc

• Family Nurse Practitioner in Bushnell, FL
• Providers in Bushnell, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.