Organization Active NPI

Shelley Speed Acnp-C PLLC

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1003188665
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
SHELLEY SPEED ACNP-C PLLC
Practice address
1310 Hollywood Ave
Dallas, TX 75208-7725
Phone
(214) 384-6591
NPI assigned
Jan 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Shelley Speed, ACNP-CNPI 1598723397
Title
Owner
Phone
(214) 384-6591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1310 Hollywood Ave
Dallas, TX 75208-7725

Mailing address

1310 Hollywood Ave
Dallas, TX 75208-7725
Phone (214) 384-6591

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1003188665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 HOLLYWOOD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752087725",
            "telephone_number": "214-384-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HOLLYWOOD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752087725",
            "telephone_number": "214-384-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY SPEED ACNP-C PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "SPEED",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-384-6591",
        "authorized_official_credential": "ACNP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.