Active NPI
Latrice R Spivey
- Surgical Assistant
- Walls, MS
National Provider Identifier
1093376998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 88
- Practice address
- 9444 McLemore CV
Walls, MS 38680-9782 - Phone
- (901) 383-0773
- NPI assigned
- Jun 22, 2019
- Last updated
- Jun 22, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 88 | TN | Primary |
Addresses
Primary practice location
9444 McLemore CV
Walls, MS 38680-9782
Mailing address
9444 McLemore CV
Walls, MS 38680-9782
Phone (901) 383-0773
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88 | TN | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561161600000",
"number": "1093376998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9444 MCLEMORE CV",
"city": "WALLS",
"state": "MS",
"postal_code": "386809782",
"telephone_number": "901-383-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9444 MCLEMORE CV",
"city": "WALLS",
"state": "MS",
"postal_code": "386809782",
"telephone_number": "901-383-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVEY",
"first_name": "LATRICE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-22",
"last_updated": "2019-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TN",
"license": "88",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walls, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.