Organization Active NPI

Spann Senses, LLC

  • Clinic/Center
  • Shelby, MS
National Provider Identifier
1194533968
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPANN SENSES, LLC
Practice address
905 North Broadway
Shelby, MS 38774
Phone
(662) 545-7243
NPI assigned
Dec 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Dr. Vikki Y. SpannNPI 1962227132
Title
Owner
Phone
(662) 545-7243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

905 North Broadway
Shelby, MS 38774

Mailing address

PO Box 123
Shelby, MS 38774-0123
Phone (662) 545-7243

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1194533968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "387740123",
            "telephone_number": "662-545-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NORTH BROADWAY",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "38774",
            "telephone_number": "662-545-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANN SENSES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SPANN",
        "authorized_official_first_name": "VIKKI",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-545-7243",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.