Individual provider Active NPI

Spancina Pea

  • Registered Nurse
  • Saint Rose, LA
National Provider Identifier
1629587597
Registry record updated Sep 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN142919 Issued in LA
Practice address
517 Turtle Creek LN
Saint Rose, LA 70087-3829
Phone
(504) 495-9388
NPI assigned
Sep 23, 2017
Last updated
Sep 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN142919 LA Primary

Addresses

Primary practice location

517 Turtle Creek LN
Saint Rose, LA 70087-3829

Mailing address

517 Turtle Creek LN
Saint Rose, LA 70087-3829

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
RN142919LAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506124800000",
    "number": "1629587597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 TURTLE CREEK LN",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700873829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 TURTLE CREEK LN",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700873829",
            "telephone_number": "504-495-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEA",
        "first_name": "SPANCINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2017-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN142919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Rose, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; 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.