Shelley Marie Speed, RN, ACNP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

592021 Issued in TX

Practice address

1310 Hollywood Ave
Dallas, TX 75208-7725

Phone

(214) 384-6591

NPI assigned

May 2, 2006

Last updated

Dec 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shelley Marie Wallace Former name

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelley.speed.1@17671.direct.athenahealth.com
• Direct secure messaging: shelley.speed.1@18564.direct.athenahealth.com

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.

• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment Care Compare group NPD
• Brother Bills Helping Hand

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1124909700
  Medicare reassignment
• Shelley Speed Acnp-C PLLC

  • Adult Health Nurse Practitioner
  • Dallas, TX
  • NPI 1003188665
  NPD (past) Authorized official
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760452387
  NPD
• North Texas Neurosurgical Associates

  dba Neurotrend

  • Specialist
  • Richardson, TX
  • NPI 1376636167
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Texas Southwestern Medical Center at Dallas

  dba UT Southwestern University Hospital

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1285798918
  Care Compare affiliation

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1598723397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 HOLLYWOOD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752087725",
            "telephone_number": "214-330-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HOLLYWOOD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752087725",
            "telephone_number": "214-384-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEED",
        "first_name": "SHELLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, ACNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "592021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "WALLACE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RN, ACNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Speechcare,Inc.
• Speechlogic PLLC
• Speechlyfe PLLC
• Speechology Limited Liability Company
• Jon D Speed, CRNA
• Debbie Speegle, PA-C
• Aline Gurjao Speer, DDS, MS
• Allan Brian Speer, LMT
• Alyson A. Speer, CRNA
• James Aaron Speer, OTR, MOT

• Acute Care Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.