Mary Ellen Spellman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

695982 Issued in TX

Practice address

515 N Sam Houston Pkwy E Ste 215
Houston, TX 77060-4000

Phone

(281) 578-1205

Fax

(281) 931-4429

NPI assigned

Mar 4, 2015

Last updated

Mar 4, 2015By 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

Other identifiers 2

Other names 1

• Mary Ellen Spellman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1225420995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N SAM HOUSTON PKWY E STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604000",
            "telephone_number": "281-578-1205",
            "fax_number": "281-931-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N SAM HOUSTON PKWY E STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604000",
            "telephone_number": "281-578-1205",
            "fax_number": "281-931-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "695982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095158402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095158404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SPELLMAN",
            "middle_name": "ELLEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hayden Speights
• Jennifer Lynn Speir, PA-C
• Tatyana Spektor, M.D.
• Dustin Dale Spell, CRNA
• Presley Lane Spell, OTD, OTR/L
• Aneike Spence, RPH
• Christopher Spence, M.D.
• Judy Maria Spence, APN-FNP-C
• Kristen Casey Spence, M.ED., BCBA
• Laurel Rebecca Spence, M.S. PA-C

• Case Manager/Care Coordinator in Houston, TX
• Providers in Houston, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.