Mirandi Rae Spencer, APRN-CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

236650 Issued in LA

Practice address

254 Highway 3048
Rayville, LA 71269-3624

Phone

(318) 728-8322

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richland Parish Hospital Service District No 1-B

  dba Northeast Louisiana Health Center

  • Rural Health Clinic/Center
  • Rayville, LA
  • NPI 1043368392
  Medicare reassignment NPD
• Richland Parish Hospital Service District No 1-B

  dba Richardson Medical Center

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1255370144
  Medicare reassignment NPD
• Richland Parish Hospital Service District No. 1-B

  dba Family Health Clinic

  • Family Medicine Physician
  • Rayville, LA
  • NPI 1093367963
  NPD

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1417787375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 HIGHWAY 3048",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693624",
            "telephone_number": "318-728-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 HIGHWAY 3048",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693624",
            "telephone_number": "318-728-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MIRANDI",
        "middle_name": "RAE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "236650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Chances Recovery Center LLC
• Christy Smith, RPH
• Franklin Daniel Smith
• Shandra Smith
• J. Eric Snipes, D.C.
• Mary Spicer, PHARMD
• Emily Suzanne Stansbury, APRN, FNP-C
• Start Community Clinic, LLC
• Start Community Clinic, LLC
• Christian Stevens, PHARMD

• Primary Care Nurse Practitioner in Rayville, LA
• Providers in Rayville, LA by specialty
• Primary Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.