SPERO HEALTH OF INDIANA, LLC (NPI# 1962900183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962900183 |
| Entity Type | Organization |
| Organization Name | SPERO HEALTH OF INDIANA, LLC |
| Practice Address |
4847 E Virginia St Evansville IN 47715-2611 |
| Mailing Address |
5141 Virginia Way Ste 390 Brentwood TN 37027-9505 |
| Practice Telephone | 6153396730 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | MR. RICHARD DULANY ADAMS (CFO) |
| Authorized Official Telephone | 6152650371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4847 E VIRGINIA ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538158498 | Laurel S. Hart | Social Worker | 4847 E Virginia St, Suite B, Evansville, IN 47715-2611 | 2005-10-13 |
| 1093288664 | Amber Lashae Nunaley | Counselor | 4847 E Virginia St, Evansville, IN 47715-2611 | 2019-01-07 |
| 1275031767 | Jae Smith | Case Manager/Care Coordinator | 4847 E Virginia St, Evansville, IN 47715-2611 | 2018-01-30 |
| 1497267827 | Lisa G Tyler | Social Worker | 4847 E Virginia St, Evansville, IN 47715-2611 | 2017-10-25 |
| 1093226664 | Aly Griggs | Counselor | 4847 E Virginia St, Evansville, IN 47715-2611 | 2017-10-23 |
| 1740707884 | Summer Dawn Williams | Case Manager/Care Coordinator | 4847 E Virginia St, Evansville, IN 47715-2611 | 2017-08-29 |
| 1184088304 | Nichole Michelle White | Social Worker | 4847 E Virginia St, Suite D, Evansville, IN 47715-2611 | 2016-04-13 |
| 1720325095 | Kate Elizabeth Murray | Social Worker | 4847 E Virginia St, Suite D, Evansville, IN 47715-2611 | 2013-01-07 |
| 1861530578 | Linda Pruitt | Nurse Practitioner | 4847 E Virginia St, Suite D, Evansville, IN 47715-2611 | 2007-02-02 |
| 1568500841 | Architects of Human Awareness | Social Worker | 4847 E Virginia St, Evansville, IN 47715-2611 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
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| 1134306947 | Gerald Paul Myers | Family Medicine | 3 Park Row, Michigan City, IN 46360 | 2008-01-23 |
| 1043383680 | The Kolbe Center | Family Medicine | 1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 | 2006-11-15 |
| 1336211481 | Midwest Integrated Health Systems, P.C. | Family Medicine | 3300 W 15th Ave, Gary, IN 46404-1963 | 2006-11-14 |
| 1235209156 | Elmo Allen Griggs | Family Medicine | 2811 Washington Ave, Bedford, IN 47421-5310 | 2006-11-08 |
| 1194719757 | Lawrence Hastings Schoch | Family Medicine | 2580 Michigan Rd, Suite 2, Madison, IN 47250-2491 | 2005-09-09 |
| 1609340983 | Nwi Behavioral & Addiction Medicine LLC | Family Medicine | 7805 Taft St, Merrillville, IN 46410-5233 | 2019-01-19 |
| 1134690258 | Serenity Primary Care & Recovery LLC | Family Medicine | 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 | 2018-12-16 |
| 1215411020 | Stellhorn Wellness, LLC | Family Medicine | 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.