Active NPI
David Wallace Spielman, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Nashville, TN
National Provider Identifier
1780340679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 33965
- Practice address
- 2323 21St Ave S Ste 401
Nashville, TN 37212-4930 - Phone
- (615) 212-5810
- Fax
- (833) 391-0867
- NPI assigned
- Nov 15, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 33965 | TN | Primary |
Addresses
Primary practice location
2323 21St Ave S Ste 401
Nashville, TN 37212-4930
Mailing address
2323 21St Ave S Ste 401
Nashville, TN 37212-4930
Phone (615) 212-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 12, 2024 through Mar 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33965 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1780340679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 21ST AVE S STE 401",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124930",
"telephone_number": "615-212-5810",
"fax_number": "833-391-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 21ST AVE S STE 401",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124930",
"telephone_number": "615-212-5810",
"fax_number": "833-391-0867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIELMAN",
"first_name": "DAVID",
"middle_name": "WALLACE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-15",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "33965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.