Active NPI
La'Myia Spentz, CERT HAIRLOSS SPEC
- Prosthetics Case Management
- Marietta, GA
National Provider Identifier
1245797430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CO128955
- Practice address
- 109 Anderson St NE
Suite 608
Marietta, GA 30060 - Phone
- (678) 902-5234
- NPI assigned
- Feb 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | C-47469 | NV | |
| Prosthetics Case Management | 1744P3200X | CO128955 | GA | Primary |
Addresses
Primary practice location
109 Anderson St NE
Suite 608
Marietta, GA 30060
Mailing address
109 Anderson St NE
Suite 608
Marietta, GA 30060
Phone (404) 933-0053
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 |
|---|---|---|---|
| CO128955 | GA | MD | Prosthetics Case Management |
| C-47469 | NV | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1245797430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ANDERSON ST NE",
"address_2": "SUITE 608",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30060",
"telephone_number": "404-933-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 ANDERSON ST NE",
"address_2": "SUITE 608",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30060",
"telephone_number": "678-902-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENTZ",
"first_name": "LA'MYIA",
"credential": "CERT HAIRLOSS SPEC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2021-05-24",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NV",
"license": "C-47469",
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": "CO128955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.