Active NPI
Evelyn Emily Spencer, M.D.
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1740371764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K7491
- Practice address
- 11851 Jollyville Rd
Suite 204
Austin, TX 78759-2338 - Phone
- (512) 219-5550
- Fax
- (512) 219-5551
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K7491 | TX | Primary |
Addresses
Primary practice location
11851 Jollyville Rd
Suite 204
Austin, TX 78759-2338
Mailing address
11851 Jollyville Rd
Suite 204
Austin, TX 78759-2338
Phone (512) 219-5550
Other names 1
- Evelyn Zabaneh
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K7491 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moms2Moms Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740371764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11851 JOLLYVILLE RD",
"address_2": "SUITE 204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592338",
"telephone_number": "512-219-5550",
"fax_number": "512-219-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11851 JOLLYVILLE RD",
"address_2": "SUITE 204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592338",
"telephone_number": "512-219-5550",
"fax_number": "512-219-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "EVELYN",
"middle_name": "EMILY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K7491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EVELYN",
"last_name": "ZABANEH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.