Active NPI
Lisa K Spann, MED, CRC, LPC
- Counselor
- West Monroe, LA
National Provider Identifier
1114186939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2904
- Practice address
- 600 Wood St
West Monroe, LA 71291-3224 - Phone
- (318) 323-7361
- Fax
- (318) 325-0103
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2904 | LA | Primary |
Addresses
Primary practice location
600 Wood St
West Monroe, LA 71291-3224
Mailing address
600 Wood St
West Monroe, LA 71291-3224
Phone (318) 323-7361
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2904 | LA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1114186939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WOOD ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913224",
"telephone_number": "318-323-7361",
"fax_number": "318-325-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WOOD ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913224",
"telephone_number": "318-323-7361",
"fax_number": "318-325-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANN",
"first_name": "LISA",
"middle_name": "K",
"credential": "MED, CRC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "2904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.