Individual provider Active NPI

William E Spellman III, ARNP

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1952403230
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 2873512 Issued in FL
Practice address
4700 N Habana Ave
Suite 500
Tampa, FL 33614-7160
Phone
(813) 801-3924
Fax
(813) 631-3615
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 2873512 FL Primary

Addresses

Primary practice location

4700 N Habana Ave
Suite 500
Tampa, FL 33614-7160

Mailing address

1705 Mapleleaf Blvd
Oldsmar, FL 34677-2729
Phone (813) 475-5180

Other identifiers 1

IdentifierTypeStateIssuer
002879000MedicaidFL

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 2873512FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Clinic Medical Group Inc Past Accepting new patients
The Healthcaring Clinic of Florida, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1952403230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MAPLELEAF BLVD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772729",
            "telephone_number": "813-475-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "SUITE 500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160",
            "telephone_number": "813-801-3924",
            "fax_number": "813-631-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_suffix": "III",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2873512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002879000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.