Active NPI
Mary Spellacy
- School Registered Nurse
- Cleveland, OH
National Provider Identifier
1497124838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN255784
- Practice address
- 11731 Mount Overlook Ave
Cleveland, OH 44120-1025 - Phone
- (216) 795-8097
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN255784 | OH | Primary |
Addresses
Primary practice location
11731 Mount Overlook Ave
Cleveland, OH 44120-1025
Mailing address
1111 Superior Ave E
Cleveland, OH 44114-2522
Phone (216) 838-0000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN255784 | OH | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1497124838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SUPERIOR AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441142522",
"telephone_number": "216-838-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11731 MOUNT OVERLOOK AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441201025",
"telephone_number": "216-795-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELLACY",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "OH",
"license": "RN255784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.