Individual provider Active NPI

Angela N Spell, M.D.

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
National Provider Identifier
1285629931
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2003003400 Issued in MO
Practice address
614 NW Englewood Rd
Kansas City, MO 64118-3973
Phone
(816) 621-7700
Fax
(816) 621-7707
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2003003400 MO Primary

Addresses

Primary practice location

614 NW Englewood Rd
Kansas City, MO 64118-3973

Mailing address

614 NW Englewood Rd
Kansas City, MO 64118-3973
Phone (816) 621-7700

Other identifiers 1

IdentifierTypeStateIssuer
208364703MedicaidMO

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003003400MOMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1285629931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 NW ENGLEWOOD RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183973",
            "telephone_number": "816-621-7700",
            "fax_number": "816-621-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 NW ENGLEWOOD RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183973",
            "telephone_number": "816-621-7700",
            "fax_number": "816-621-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELL",
        "first_name": "ANGELA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2003003400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208364703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.