Derricka Spurs

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

775 S Bonner St
Ruston, LA 71270-5801

Phone

(318) 254-7050

Fax

(318) 254-7053

NPI assigned

Jan 13, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2019.

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1750827754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 S BONNER ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705801",
            "telephone_number": "318-254-7050",
            "fax_number": "318-254-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S BONNER ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705801",
            "telephone_number": "318-254-7050",
            "fax_number": "318-254-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURS",
        "first_name": "DERRICKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Coleen Speed, LMFT/PHD
• Anbrea Spivey
• Davion D Spivey Sr.
• Julia C Spivey, LMSW
• Regan Spivey
• Za'Keedra Spurs
• Sreenivasa Rao Tadikonda
• SSDN Saharans, Inc
• St Francis Medical Group LLC
• Kristina Moore Stanfield

• All providers in Ruston, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.