Jennifer R Speulda, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1003357 Issued in TX

Practice address

4400 Walnut St
Greenville, TX 75401-5586

Phone

(903) 450-8001

NPI assigned

Jul 16, 2020

Last updated

Jul 16, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healx Wound Care of Netx PLLCGroup PAC ID 0941747174, 6 clinicians

Community Health Service Agency, Inc.Group PAC ID 6305735150, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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

• Healx Wound Care of Netx, PLLC

  • Wound Care Registered Nurse
  • Paris, TX
  • NPI 1326886425
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1508474446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 COUNTY ROAD 1225",
            "city": "LAKE CREEK",
            "state": "TX",
            "postal_code": "754504824",
            "telephone_number": "903-366-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 WALNUT ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015586",
            "telephone_number": "903-450-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEULDA",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1003357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Matthew Smith, D.D.S.
• Kimberly J Snell, LPC
• SNG - Greenville Dialysis Center LP
• Brenda Gail Snow, MED,RD,LD
• Snyder Partners, LLC (Hunt Community Pharmacy)
• Angela U Spradlin, RN
• St. Anthony's Diagnostic PLLC
• St. Giles Living Centers, Inc. (3506 Garber Circle)
• St. Giles Living Centers, Inc. (100 Patti J Street)
• St. Giles Living Centers, Inc. (2500 Terry Place)

• Family Nurse Practitioner in Greenville, TX
• Providers in Greenville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.