Sandra Spiers, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SANDRA SPIERS, LLC

Practice address

117 N Main St Ste B
Picayune, MS 39466-3936

Phone

(601) 347-3029

Fax

(601) 749-7100

NPI assigned

Dec 12, 2014

Organization subpart

No

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

Authorized official

Name

Sandra J. Spiers, NPNPI 1518167949

Title

Sole Owner

Phone

(601) 347-3029

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Sandra Janell Spiers, NP

  • Nurse Practitioner
  • Picayune, MS
  • NPI 1518167949

  Clinic/Center, LA

  Medicare reassignment NPD Authorized official
• Carolyn Ann Blythe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Carriere, MS
  • NPI 1669496915
  NPD (past)

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1326446907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODMONT DR",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394667658",
            "telephone_number": "601-347-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST STE B",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663936",
            "telephone_number": "601-347-3029",
            "fax_number": "601-749-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA SPIERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "SPIERS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "601-347-3029",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04778509",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2831390",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00816371",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "640507572",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5121500067",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula J. Russell, LCSW
• Saint Francis Community Services in Mississippi Inc
• Saint Francis Community Services in Mississippi Inc
• Renee Nicole Salinas, PT
• Albert H Sanders, NP-C
• Kimberly C Sauls, LCSW
• Schneider Therapy Clinic LLC
• Kristy Love Schneider, PT, DPT
• Gabrielle I Scott, SLP
• Steven Turnage Scott, DMD

• Nurse Practitioner in Picayune, MS
• Providers in Picayune, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.