Active NPI
Laura Theresa Spelman, RN
- Prevention Professional
- Blue Point, NY
National Provider Identifier
1457860520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 521814-1
- Practice address
- 263 Blue Point Ave
Blue Point, NY 11715-1224 - Phone
- (516) 458-5298
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 521814-1 | NY | Primary |
Addresses
Primary practice location
263 Blue Point Ave
Blue Point, NY 11715-1224
Mailing address
59 Hauser St
Bohemia, NY 11716
Other practice location 1
263 Blue Point Ave
Blue Point, NY 11715-1224
Phone (631) 419-6737
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 521814-1 | NY | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457860520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 HAUSER ST",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "11716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 BLUE POINT AVE",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151224",
"telephone_number": "516-458-5298"
}
],
"practiceLocations": [
{
"address_1": "263 Blue Point Ave",
"address_purpose": "LOCATION",
"city": "Blue Point",
"state": "NY",
"postal_code": "117151224",
"country_code": "US",
"telephone_number": "631-419-6737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPELMAN",
"first_name": "LAURA",
"middle_name": "THERESA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NY",
"license": "521814-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.