John Bill Spaedt

Individual provider Active NPI Speech-Language Pathologist · Belen, NM

NPI 1013623396 · NPPES record last updated Jul 15, 2026

Key facts

NPI
1013623396
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SAH-2025-0039 (NM)
Practice address
1831 Camino del Llano
Belen, NM 87002-2619
Phone
(505) 864-1600
NPI assigned
Jan 30, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SAH-2025-0039 NM Yes
Speech-Language Pathologist 235Z00000X 5703 TN

Addresses

Primary practice location

1831 Camino del Llano
Belen, NM 87002-2619

Mailing address

2805 Charles Bryan Rd
Bartlett, TN 38134-4756
Phone (901) 701-5995

Other providers in Belen, NM

All providers in Belen, NM · Speech-Language Pathologist in New Mexico

Sources for this page

Verify at the official NPI Registry.