Kimberly Ann Spencer Schup, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J6739 Issued in TX

Practice address

3106 50TH St
Ste. 400
Lubbock, TX 79413-4132

Phone

(806) 698-8088

Fax

(806) 698-8588

NPI assigned

May 14, 2007

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 1

Other names 1

• Kimberly A Schup Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Rodney T Franklin, MD, PA

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1346373289
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487869293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 50TH ST",
            "address_2": "STE. 400",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134132",
            "telephone_number": "806-698-8088",
            "fax_number": "806-698-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 50TH ST",
            "address_2": "STE. 400",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134132",
            "telephone_number": "806-698-8088",
            "fax_number": "806-698-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER SCHUP",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J6739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J6739",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SCHUP",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ella Carole Speck, MD
• Lillie Kristal Speck
• Spectra Sports Medicine & Physical Therapy, LP
• Speech and Myofunctional Therapy of Lubbock, LLC
• Kendall Lauren Speer
• Anthony J. Spencer, O.D.
• Speranza Transportation Services LLC
• Sphinx Sunrunners Inc
• Jessica Leigh Spiegelberg, DNP-C
• Samuel Compton Spikes, M.D.

• General Practice Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.