Shelley Andrea Spencer

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

631165 Issued in TX

Practice address

1911 NE Inner Loop
Georgetown, TX 78626-4439

Phone

(512) 943-5151

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1497388474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PECAN VISTA CV",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264542",
            "telephone_number": "512-923-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 NE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264439",
            "telephone_number": "512-943-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SHELLEY",
        "middle_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "631165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Georgetown",
            "affiliation": "N",
            "address_1": "1911 NE Inner Loop",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786264439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southwestern University
• Southwestern University
• Suzanne S Sparks, CRNA
• Joan Elizabeth Speer, PA-C
• Sarah Nicole Spencer, DNAP, BSN, RN
• Jennifer Christine Spiller, FNP
• Paul Craig Spiller, M.D.
• Florence C Spitler, D.O.
• Spontaneous Expressions LLC
• Cari Springfield, P.T.

• Nurse Practitioner in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.