Individual provider Active NPI

Angelia Renae Spurgin, LP

  • Psychologist
  • Covington, LA
National Provider Identifier
1104407642
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1571 Issued in LA
Practice address
56 Louis Prima Dr
Covington, LA 70433-5903
Phone
(985) 875-2800
Fax
(985) 875-2801
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38519 TX
Psychologist 103T00000X 1571 LA Primary

Addresses

Primary practice location

56 Louis Prima Dr
Covington, LA 70433-5903

Mailing address

56 Louis Prima Dr
Covington, LA 70433-5903
Phone (985) 875-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714001142 LA Practitioner - Clinical Psychologist 5092117010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1571LAMDMental Health Counselor
38519TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 21, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 21, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

56 Louis Prima Dr
Covington, LA 70433
Phone (985) 327-7256

56 Louis Prima Dr
#A
Covington, LA 70433
Phone (504) 450-7561

3235 E Causeway Approach
Mandeville, LA 70448
Phone (985) 809-5849

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: aspurgin1290632@direct.ochsner.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1104407642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LOUIS PRIMA DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-875-2800",
            "fax_number": "985-875-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LOUIS PRIMA DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-875-2800",
            "fax_number": "985-875-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURGIN",
        "first_name": "ANGELIA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38519",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.