MS. MARY PENLAND SPEYRER N.P. NPI 1659350700

NPI Information

NPI: 1659350700
Provider Name: MS. MARY PENLAND SPEYRER, N.P.
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: PRIMESOURCE NURSING SERVICES, INC

PECOS Registration: Yes

Address:
9344 THREE RIVERS RD
GULFPORT, MS
ZIP 39503
Phone: (228) 865-9898
Get Directions

MS. Mary Penland Speyrer, N.P. is an acute care nurse practitioner in Gulfport, MS with 28 years of experience. MS. Mary Penland Speyrer, N.P. NPI is 1659350700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9344 THREE RIVERS RD
GULFPORT, MS
ZIP 39503-268
Phone: (228) 865-9898
Fax: (228) 863-5616

The NPI 1659350700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	AP03039	LOUISIANA	No
2	363LA2100X	Nurse Practitioner	Acute Care	901778	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	558986YNL6	OTHER	MISSISSIPPI	MEDICARE
2	5000023389	OTHER	LOUISIANA	RAILROAD MEDICARE
3	01200718	MEDICAID	MISSISSIPPI
4	1533173	MEDICAID	LOUISIANA
5	232781	OTHER	LOUISIANA	WELLCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »