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

Last updated

Aug 12, 2021By 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 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vitas Health Services of Texas, P.a.

  dba Palliative Medical Associates of Texas

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

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

{
    "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 (Spooner Rockwall)
• Sports Med Recovery LLC

• Adult Health Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• 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.