Provider Demographics
NPI:1154111482
Name:SPELLINGS, SARAH NICOLE (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:SPELLINGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HIGHLAND TER
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-9761
Mailing Address - Country:US
Mailing Address - Phone:512-221-9248
Mailing Address - Fax:
Practice Address - Street 1:1000 HAY BARN LN
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-2544
Practice Address - Country:US
Practice Address - Phone:737-327-7806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010090163W00000X, 163WS0200X, 163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient