ALEXIS KYLIE SPENCE


Address: 1668 Us 51 N, Ponchatoula, LA 70454
Phone: 9854014022

ALEXIS KYLIE SPENCE (NPI# 1861093478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861093478
Entity Type Individual
Full Name ALEXIS KYLIE SPENCE
Credential PA
Practice Address 1668 Us 51 N
Ponchatoula
LA 70454
Mailing Address Po Box 306244
Nashville
TN 37230-6244
Practice Telephone 9854014022
Practice Fax Number 9854014023
Mailing Telephone 9312531110
Mailing Fax Number 2566644280
Enumeration Date 2020-11-02
Last Update Date 2020-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 324757 LA Physician Assistants & Advanced Practice Nursing Providers

Other Providers ALEXIS SPENCE

NPI Name Taxonomy Address Enumeration
1164918371 Alexis Spence Assistant Behavior Analyst 2631 State Route 34, Winfield, WV 25213 2018-07-11

Office Location

Street Address 1668 US 51 N
City PONCHATOULA
State LA
Zip Code 70454

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982246740 Stephanie R Mason Pharmacist 1331 Us-51 Bus, Ponchatoula, LA 70454 2019-10-14
1659879070 Jessica Barrett Behavioral Analyst 21 Industrial Park Blvd Bldg A, Ponchatoula, LA 70454 2018-01-31
1124531397 Mary F Smith Counselor 100 N 13th St, Ponchatoula, LA 70454 2017-11-09
1831625201 Endia Geter Counselor 665 E Beech St, Ponchatoula, LA 70454 2017-05-04
1508392069 Deep South Family Dentistry Dentist 1160 Hwy 51 North, Ponchatoula, LA 70454 2017-05-03
1720539299 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15212 Wadesboro Dr., Ponchatoula, LA 70454 2016-10-20
1376993360 Latasha Williams Counselor 40048 Sugarberry Drive, Ponchatoula, LA 70454 2016-06-21
1770931503 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 24345 Harvey Lavigne Road, Ponchatoula, LA 70454 2016-06-02
1881049211 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 103 East Pecan St., Ponchatoula, LA 70454 2016-05-04
1134592025 Shakeisha Mckay Counselor 22141 South Ridge Dr., Ponchatoula, LA 70454 2015-11-02
Find all providers in zip 70454

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134728769 Hannah Michael Physician Assistant 8249 Vincent Rd, Denham Springs, LA 70726-6279 2020-10-24
1366041402 Dillon Michael Kelly Physician Assistant 1214 Coolidge St., Lafayette, LA 70503-2621 2020-10-20
1710584263 Kaycie Fontenot Setliff Physician Assistant 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 2020-10-07
1669089389 Emily Marie Bruce Physician Assistant 112 Peytral Dr, Raceland, LA 70394-2016 2020-09-27
1740891431 Haley Webre Physician Assistant 110 Avery St, Luling, LA 70070-2180 2020-08-14
1508474958 Katherine Whittington Physician Assistant 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 2020-07-21
1629693502 Laura Rose Murray Physician Assistant 330 Julia St Apt 308, New Orleans, LA 70130-3682 2020-06-16
1639793714 Lillian Madin Physician Assistant 3312 Dumaine St, New Orleans, LA 70119-3911 2020-06-03
1043832579 Sarah Hassien Daigle Physician Assistant 324 Madison Crossing Dr, Sulphur, LA 70665-8791 2020-05-06
1326669334 Rachel Fulmer Trepagnier Physician Assistant 111 La Rue Vil, Lafayette, LA 70508-6829 2020-04-30
Find all providers with the same taxonomy

Competitor

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City PONCHATOULA
Zip Code 70454

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Dataset Information

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.

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