MEDICARE: JOHN SPEAR PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.1000526-NP	CO
2	163WE0003X	Emergency Registered Nurse	RN.1655045	CO

General Provider Information

NPI Number	:	1861226052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN SPEAR PMHNP-BC

Provider Business Mailing Address
First Line	:	215 S HOOKER ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-2031
Country	:	US
Telephone Number	:	720-635-5787
Fax Number	:

Provider Business Practice Location Address
First Line	:	2560 SHERIDAN BLVD STE 2
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80214-3011
Country	:	US
Telephone Number	:	720-588-3383
Fax Number	:	833-758-8850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2024
Last Update Date	:	01/30/2026

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Directions to “ JOHN SPEAR PMHNP-BC” Practice Location

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