Shanna Leigh Spence, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C8442 Issued in AR

Practice address

300 E 6TH St
Texarkana, AR 71854-5207

Phone

(870) 779-6004

Fax

(870) 779-6100

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• General Emergency Physicians, Inc.

  dba The Sessions Group

  • Emergency Medicine Physician
  • North Little Rock, AR
  • NPI 1386954873
  Medicare reassignment NPD
• Emergency Associates of Texas, PA

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1326071788
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1255338943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545207",
            "telephone_number": "870-779-6004",
            "fax_number": "870-779-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545207",
            "telephone_number": "870-779-6004",
            "fax_number": "870-779-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "SHANNA",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C8442",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRALBLAZERS",
            "identifier": "8B4912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Arkansas Development Council, Inc.
• Southwest Arkansas Medical Staffing Solutions, PLLC
• Spanish Trace Clinic
• Special Health Resources for Texas, Inc. (All for Kids Clinic)
• Special Health Resources for Texas, Incorporated (All for Kids Clinic)
• Dwight L Sperry, MA
• Linda Lou Spillers-Martin, RN
• Crystal Marie Stanberry, NP
• John P. Stanley, APRN,BC
• Natalie Stanley

• Family Medicine Physician in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.