Roumyana Ivanova Spassova, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5005749 Issued in NC

Practice address

903 Randolph St
Thomasville, NC 27360-5898

Phone

(336) 765-0020

Fax

(336) 765-0581

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

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 and National Provider Directory roles.

• Jaime E Trujillo MD PA

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1730301037
  Medicare reassignment NPD

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1588914337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-765-0020",
            "fax_number": "336-765-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 RANDOLPH ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605898",
            "telephone_number": "336-765-0020",
            "fax_number": "336-765-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 E Cornwallis Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274085103",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPASSOVA",
        "first_name": "ROUMYANA",
        "middle_name": "IVANOVA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005749",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "225782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara R Smith, BSW, CDAC
• John Snider, OCCUPATIONAL THERAPY
• Eric Snyder, OT/L
• Solace Biz, Inc
• Leshaun Southerland
• Melissa Jane Spooner
• Taylor Claire Sprague, PA
• Spring Arbor Thomasville NC Tenant, LLC
• Spruce LTC Group, LLC
• Susan Hunter Squires, LPC LICENSED PROFESS

• Nurse Practitioner in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.