Tysheanna Spates

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA406270 Issued in FL

Practice address

1602 Enclave Pkwy Apt 2002
Houston, TX 77077-3700

Phone

(832) 367-0703

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1568156594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ENCLAVE PKWY APT 2002",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773700",
            "telephone_number": "832-367-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ENCLAVE PKWY APT 2002",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773700",
            "telephone_number": "832-367-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATES",
        "first_name": "TYSHEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0061032510",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA406270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Haynie Spata, D.D.S.
• Ann Spataro, LCSW
• Brianna Spates
• Darrell Lee Spates, LMSW, LCCA
• Easter Millette Spates, M.ED, LPC
• Laura Spath
• Spatha Technologies, Inc.
• Glenn Spaulding, M.D.
• Laura Ruth Spaulding, M.S., CCC-SLP
• Spe Medical & Physical Therapy Clinic PLLC

• Nurse's Aide in Houston, TX
• Providers in Houston, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.