Healthcare Provider Details

I. General information

NPI: 1154111482
Provider Name (Legal Business Name): SARAH NICOLE SPELLINGS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HAY BARN LN
HUTTO TX
78634-2544
US

IV. Provider business mailing address

1 HIGHLAND TER
ROUND ROCK TX
78665-9761
US

V. Phone/Fax

Practice location:
  • Phone: 737-327-7806
  • Fax:
Mailing address:
  • Phone: 512-221-9248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1010090
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number1010090
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number1010090
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: