MS. KATIE MAE SPANN (NPI# 1457998965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457998965 |
| Entity Type | Individual |
| Full Name | MS. KATIE MAE SPANN |
| Other Name | MS. KATIE MAE SPANN |
| Credential | APRN PMHNP |
| Practice Address |
1510 Hawthorne Pl Clinton MS 39056-3911 |
| Mailing Address |
200 Capitol St Clinton MS 39056-4026 |
| Practice Telephone | 6018135680 |
| Mailing Telephone | 6019253205 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
903657 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1510 HAWTHORNE PL |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756899 | Jennifer Danks | Nurse Practitioner | 1845 Keener Rd, Clinton, NC 28328-8039 | 2020-09-29 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1861984668 | Christopher L Cataldie | Nurse Practitioner | 11990 Jackson St, Clinton, LA 70722-3210 | 2018-06-06 |
| 1528411196 | Mary Nichols Throndson | Nurse Practitioner | 11990 Jackson St, Clinton, LA 70722-3210 | 2016-07-19 |
| 1205250693 | Jennie Dawson | Nurse Practitioner | 2526 Highway 65 S Ste 201, Clinton, AR 72031-6678 | 2014-02-06 |
| 1376965202 | Karen Ann Newsome | Nurse Practitioner | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2014-01-13 |
| 1821423799 | Dorothy Metz | Nurse Practitioner | 1320 19th Ave Nw, Clinton, IA 52732-2752 | 2013-09-10 |
| 1225210909 | Brittany Laine Smith | Nurse Practitioner | 11990 Jackson Street, Clinton, LA 70722-0395 | 2007-12-04 |
| 1245412386 | Sherri L. Fenwick | Nurse Practitioner | 1800 Community, Clinton, MO 64735 | 2007-11-30 |
| 1003990896 | Tina Budreau | Nurse Practitioner | 1320 19th Ave Nw, Clinton, IA 52732-2752 | 2006-10-25 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on MS. KATIE MAE SPANN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.