Individual provider Active NPI

Amber L. Spyres, BSN, RN

  • School Registered Nurse
  • Vian, OK
National Provider Identifier
1902564693
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
131705 Issued in OK
Practice address
301 W. Hunter
Vian, OK 74962
Phone
(918) 773-5311
Fax
(918) 773-5662
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 131705 OK Primary

Addresses

Primary practice location

301 W. Hunter
Vian, OK 74962

Mailing address

448391 E 1070 Rd
Vian, OK 74962-5121
Phone (918) 773-2035

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
131705OKMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1902564693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448391 E 1070 RD",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749625121",
            "telephone_number": "918-773-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W. HUNTER",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "74962",
            "telephone_number": "918-773-5311",
            "fax_number": "918-773-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPYRES",
        "first_name": "AMBER",
        "middle_name": "L.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OK",
            "license": "131705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vian, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.