Active NPI
Spencer Gregory Evans III
- Nurse's Aide
- Alexandria, LA
National Provider Identifier
1609506732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 325110
- Practice address
- 1450 Peterman Dr
Alexandria, LA 71301-3432 - Phone
- (318) 312-1775
- NPI assigned
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Nurse's Aide | 376K00000X | 325110 | LA | Primary |
Addresses
Primary practice location
1450 Peterman Dr
Alexandria, LA 71301-3432
Mailing address
4403 Heyman LN Apt 140
Alexandria, LA 71303-2811
Phone (318) 312-1775
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
| License | State | Type | Specialty |
|---|---|---|---|
| 325110 | LA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1609506732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 HEYMAN LN APT 140",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032811",
"telephone_number": "318-312-1775",
"fax_number": "318-561-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 PETERMAN DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013432",
"telephone_number": "318-312-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SPENCER",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2023-11-06",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "LA",
"license": "325110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
- Beth S. Eubanks, N.P.
- Julie Carmouche Eubanks, FNP
- Steven Eubanks, R.PH.
- Eunique Medical Staffing, LLC
- Brandi Evans, LCSW
- Evergreen Presbyterian Ministries, Inc. (Bouef Trace Community Home)
- Evergreen Presbyterian Ministries, Inc. (Heyman Lane Community Home)
- Evergreen Presbyterian Ministries, Inc. (Prescott Road Community Home)
- Evergreen Presbyterian Ministries, Inc. (Camerata Community Home)
- Evergreen Presbyterian Ministries, Inc. (Windermere Community Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.