Meredith Anne Spencer, APNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP141137 Issued in TX

Practice address

1489 Hickory Creek LN
Rockwall, TX 75032-7335

Phone

(337) 802-4887

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

Yes

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.

• Vitas Health Services of Texas, P.a.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1740566017
  Medicare reassignment NPD TX

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2021.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1578024147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 HICKORY CREEK LN",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327335",
            "telephone_number": "337-802-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 HICKORY CREEK LN",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327335",
            "telephone_number": "337-802-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14651 Dallas Pkwy Ste 811",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547476",
            "country_code": "US",
            "telephone_number": "877-868-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MEREDITH",
        "middle_name": "ANNE",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP141137",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP141137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS HEALTH SERVICES OF TEXAS, P.A.",
            "address_1": "Crown Sterling Building",
            "address_2": "14651 North Dallas Parkway, Suite 811",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752547476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mackenzie Sparks, M.S. CCC-SLP
• McKenna Brooke Sparks
• Robert Dale Sparks, D.O.
• Olivia Johnson Spaulding
• Haley Renee Speake, OTD, OTR/L
• Shamieka Spencer, LMSW
• Spine Team Texas-Rockwall, PA
• Spine Team Texas, PA
• Spooner Physical Therapy and Hand Rehab, PC
• Sports Med Recovery LLC

• All providers in Rockwall, TX
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.