Individual provider Active NPI

Tamekia Spencer

  • Case Manager/Care Coordinator
  • Gonzales, LA
National Provider Identifier
1629547526
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
108 E Sanders St
Gonzales, LA 70737-3144
Phone
(225) 647-4105
Fax
(866) 234-8190
NPI assigned
Nov 20, 2018
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

108 E Sanders St
Gonzales, LA 70737-3144

Mailing address

PO Box 359
Gonzales, LA 70707-0359
Phone (225) 242-7841

Other practice location 1

630 W Cornerview St
Gonzales, LA 70737-2742
Phone (225) 647-4105

Other names 1

  • Tamekia Nicole Spencer Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Behavioral Services CurrentSince Oct 13, 2019 Accepting new patients

Locations

108 E Sanders St
Gonzales, LA 70737
Phone (225) 644-0169

630 W Cornerview St
Gonzales, LA 70737
Phone (225) 623-7296

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1629547526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707070359",
            "telephone_number": "225-242-7841",
            "fax_number": "866-234-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E SANDERS ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373144",
            "telephone_number": "225-647-4105",
            "fax_number": "866-234-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 W Cornerview St",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707372742",
            "country_code": "US",
            "telephone_number": "225-647-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "TAMEKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMEKIA",
            "last_name": "SPENCER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.