Individual provider Active NPI

Kirk Everett Spelman, NP

  • Nurse Practitioner
  • Buzzards Bay, MA
National Provider Identifier
1518393438
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2272160 Issued in MA
Practice address
101 Academy Dr
Buzzards Bay, MA 02532-3405
Phone
(508) 830-5048
NPI assigned
Sep 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2272160 MA Primary

Addresses

Primary practice location

101 Academy Dr
Buzzards Bay, MA 02532-3405

Mailing address

101 Academy Dr
Buzzards Bay, MA 02532-3405
Phone (508) 830-5048

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2272160MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Maritime Academy Emergency Medical Services PastSince May 1, 2022 Accepting new patients
Commonwealth of Massachusetts Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1518393438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ACADEMY DR",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323405",
            "telephone_number": "508-830-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ACADEMY DR",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323405",
            "telephone_number": "508-830-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELMAN",
        "first_name": "KIRK",
        "middle_name": "EVERETT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2272160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buzzards Bay, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.