Paula Tiu Spaulding, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11454 Issued in TX

Practice address

8930 Fourwinds Dr Ste 101
Windcrest, TX 78239-1971

Phone

(210) 653-7444

Fax

(210) 653-7456

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Texas Healthnet Medical Clinic LTD.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1578631040
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1780960518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 INFANTRY POST RD",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782341308",
            "telephone_number": "082-317-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 FOURWINDS DR STE 101",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391971",
            "telephone_number": "210-653-7444",
            "fax_number": "210-653-7456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12730 W Ih 10 Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782301004",
            "country_code": "US",
            "telephone_number": "210-877-0772",
            "fax_number": "210-877-0785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "PAULA",
        "middle_name": "TIU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-932",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11454",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822117",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felecia E Smith, FNP
• Vanessa C Smith, LAT
• Nicole Sommerman-Borne
• South Texas Psychological Associates & Consultants, LLC
• Roy Sowell III
• Sprouting 4 Life
• Starpoint Counseling Service, PLLC
• Stay Young Mental Health & Wellness
• Joan Sutton, PTA
• Dainett Swan, LCSW #53011

• Physician Assistant in Windcrest, TX
• Providers in Windcrest, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.