Laurel Rebecca Spence, M.S. PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02692 Issued in TX

Practice address

6410 Fannin St
Ste. 825
Houston, TX 77030-3000

Phone

(713) 791-9100

Fax

(713) 791-1016

NPI assigned

Jul 30, 2009

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: laurel.spence@hca9.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment
• Womans Health Group PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1750532545
  NPD (past)

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1184855744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "address_2": "MS: BCM 115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-3663",
            "fax_number": "713-798-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "STE. 825",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "713-791-9100",
            "fax_number": "713-791-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "LAUREL",
        "middle_name": "REBECCA",
        "name_prefix": "Prof.",
        "credential": "M.S. PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LAUREL.SPENCE@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6410 Fannin St",
            "address_2": "STE. 825",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770303000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Ellen Spellman
• Aneike Spence, RPH
• Christopher Spence, M.D.
• Judy Maria Spence, APN-FNP-C
• Kristen Casey Spence, M.ED., BCBA
• Matthew Neil Spence, MD
• Naomi Tiffany Spence, MS, BCBA
• Richard D Spence, CRNA
• Susanna Spence, M.D.
• Tecelia Esters Spence, LCSW

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.