Active NPI
William E Spellman III, ARNP
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1952403230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 2873512
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002879000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2873512 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
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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.