Organization Active NPI

Full Access Healthcare LLC

Doing business as Full Access Healthcare

  • Nurse Practitioner
  • Danville, IL
National Provider Identifier
1730869942
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
FULL ACCESS HEALTHCARE LLC
Doing business as
Full Access Healthcare
Practice address
610 N Gilbert St Ste A610N
Danville, IL 61832-3940
Phone
(217) 304-1515
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Miss Amanda Spezia, DO
Title
Owner
Phone
(151) 521-7304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

610 N Gilbert St Ste A610N
Danville, IL 61832-3940

Mailing address

610 N Gilbert St Ste A610N
Danville, IL 61832-3940
Phone (217) 304-1515

Other names 1

  • Full Access Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

610 N Gilbert St
Ste A
Danville, IL 61832
Phone (217) 213-6241

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1730869942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N GILBERT ST STE A610N",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323940",
            "telephone_number": "217-304-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GILBERT ST STE A610N",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323940",
            "telephone_number": "217-304-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL ACCESS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "SPEZIA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "151-521-7304",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Access Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.