Katie Mae Spann, APRN PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

903657 Issued in MS

Practice address

1510 Hawthorne PL
Clinton, MS 39056-3911

Phone

(601) 813-5680

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Katie Mae Spann Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Global Behavioral Healthcare LLCGroup PAC ID 2062856552, 2 clinicians

Balance Behavioral HealthGroup PAC ID 7810223559, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: imaginebehavioralhealth.katiespann@139031.advancedmd-direct.com

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

• Balance Behavioral Health

  • Psychiatry Physician
  • Jackson, MS
  • NPI 1255818076
  Medicare reassignment Care Compare group NPD
• Global Behavioral Healthcare

  • Adult Mental Health Clinic/Center
  • Denver, CO
  • NPI 1659141182
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1457998965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CAPITOL ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564026",
            "telephone_number": "601-925-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HAWTHORNE PL",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563911",
            "telephone_number": "601-813-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "KATIE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "APRN PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "spannkatie@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1510 Hawthorne Pl",
            "city": "Clinton",
            "state": "MS",
            "country_code": "US",
            "postal_code": "390563911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SPANN",
            "middle_name": "MAE",
            "prefix": "MS.",
            "credential": "APRN PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Sowing Seeds, LLC
• Tiffany Danielle Spears
• Spectrum Eye Care Solutions,LLC
• Speech Care Associates
• Delisha Diane Speech, M.S., CCC-SLP
• Springboard Therapy Services, Inc

• Psychiatric/Mental Health Nurse Practitioner in Clinton, MS
• Providers in Clinton, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.