Individual provider Active NPI

Tamara Cami Spencer Okolo

  • Licensed Vocational Nurse
  • Fort Worth, TX
National Provider Identifier
1437615424
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
330666 Issued in TX
Practice address
2100 Haylee Dr
Fort Worth, TX 76131-1207
Phone
(214) 541-7850
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 330666 TX Primary

Addresses

Primary practice location

2100 Haylee Dr
Fort Worth, TX 76131-1207

Mailing address

2001 Haylee Dr
Fort Worth, TX 76131-1206
Phone (214) 541-7850

Other practice location 1

2100 Haylee Dr
Fort Worth, TX 76131-1207
Phone (214) 541-7850

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

LicenseStateTypeSpecialty
330666TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1437615424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HAYLEE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311206",
            "telephone_number": "214-541-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HAYLEE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311207",
            "telephone_number": "214-541-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Haylee Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761311207",
            "country_code": "US",
            "telephone_number": "214-541-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER OKOLO",
        "first_name": "TAMARA",
        "middle_name": "CAMI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "330666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.