Active NPI
Ida Elizabeth Barnette-Spurlin, CARE COORDINATOR
- Case Manager/Care Coordinator
- Las Vegas, NV
National Provider Identifier
1750134052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 7291 W Charleston Blvd Ste Ab&120
Las Vegas, NV 89117-1595 - Phone
- (725) 237-0080
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
7291 W Charleston Blvd Ste Ab&120
Las Vegas, NV 89117-1595
Mailing address
840 S Rancho Dr Ste 4-337
Las Vegas, NV 89106-3837
Phone (702) 440-8440
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1750134052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S RANCHO DR STE 4-337",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063837",
"telephone_number": "702-440-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7291 W CHARLESTON BLVD STE AB&120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171595",
"telephone_number": "725-237-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETTE-SPURLIN",
"first_name": "IDA",
"middle_name": "ELIZABETH",
"credential": "CARE COORDINATOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.