Active NPI
Qierra Denise Spates I
- Case Manager/Care Coordinator
- Cleveland, OH
National Provider Identifier
1780569061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2081 E 40TH St
Cleveland, OH 44103-4331 - Phone
- (216) 668-7413
- NPI assigned
- Aug 7, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | Primary | |
| Health & Wellness Coach | 171400000X | GA | ||
| Massage Therapist | 225700000X | MT015495 | GA |
Addresses
Primary practice location
2081 E 40TH St
Cleveland, OH 44103-4331
Mailing address
2081 E 40TH St
Cleveland, OH 44103-4331
Phone (216) 688-7413
Other practice location 1
1675 Cumberland Pkwy SE
Smyrna, GA 30080-6359
Phone (770) 437-0780
Other practice location 2
249 Peters St SW
Atlanta, GA 30313-1229
Phone (404) 406-7798
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 |
|---|---|---|---|
| MT015495 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1780569061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2081 E 40TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034331",
"telephone_number": "216-688-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2081 E 40TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034331",
"telephone_number": "216-668-7413"
}
],
"practiceLocations": [
{
"address_1": "1675 Cumberland Pkwy SE",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300806359",
"country_code": "US",
"telephone_number": "770-437-0780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "249 Peters St SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303131229",
"country_code": "US",
"telephone_number": "404-406-7798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPATES",
"first_name": "QIERRA",
"middle_name": "DENISE",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-07",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT015495",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.