Individual provider Active NPI

Melek Speros, LM, CPM

  • Midwife
  • Austin, TX
National Provider Identifier
1083151963
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99286 Issued in TX
Practice address
8916 Ipswich Bay Dr
Austin, TX 78747-2718
Phone
(512) 297-7428
Fax
(512) 722-7633
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99286 TX Primary

Addresses

Primary practice location

8916 Ipswich Bay Dr
Austin, TX 78747-2718

Mailing address

8916 Ipswich Bay Dr
Austin, TX 78747-2718
Phone (512) 297-7428

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99286TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1083151963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8916 IPSWICH BAY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472718",
            "telephone_number": "512-297-7428",
            "fax_number": "512-722-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8916 IPSWICH BAY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472718",
            "telephone_number": "512-297-7428",
            "fax_number": "512-722-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEROS",
        "first_name": "MELEK",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.