Active NPI
Annika Spears
- Registered Nurse
- Portland, OR
National Provider Identifier
1730062530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 202005390RN
- Practice address
- 4400 NE Halsey St
Portland, OR 97213-1545 - Phone
- (555) 555-5555
- NPI assigned
- Jul 29, 2025
- Last updated
- Jul 29, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 202005390RN | OR | Primary |
Addresses
Primary practice location
4400 NE Halsey St
Portland, OR 97213-1545
Mailing address
17853 SE Candy LN
Milwaukie, OR 97267
Phone (214) 801-7996
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202005390RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1730062530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17853 SE CANDY LN",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97267",
"telephone_number": "214-801-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131545",
"telephone_number": "555-555-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "ANNIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "202005390RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.