HEATHER LEE SPEAR APRN NPI 1770542524

NPI Information

NPI: 1770542524
Provider Name: HEATHER LEE SPEAR, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: CADTC PARTNERS LLP

PECOS Registration: Yes

Address:
JOHN DEMPSEY HOSPITAL
263 FARMINGTON AVENUE
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-6700
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Heather Lee Spear, APRN is a psychiatric/mental health nurse practitioner in Farmington, CT with 42 years of experience. Heather Lee Spear, APRN NPI is 1770542524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

JOHN DEMPSEY HOSPITAL
263 FARMINGTON AVENUE
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-6700
Fax: (860) 679-6736

The NPI 1770542524 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 6/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	000796	CONNECTICUT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	000796	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	211849	OTHER		MANAGED HEALTH
2	890000149	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	FARMINGTON OFFICE
3	400000796CT01	OTHER	CONNECTICUT	BCBS - FARMINGTON OFFICE
4	S66459	MEDICARE UPIN	CONNECTICUT
5	890000608 (C00814)	MEDICARE PIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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