Individual provider Active NPI

Suzzette Renee Spencer, RRA, RT(R)(CT)(ARRT)

  • Radiology Practitioner Assistant
  • Plano, TX
National Provider Identifier
1043856966
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
481887 Issued in TX
Practice address
1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716
Phone
(972) 867-7862
Fax
(972) 612-1623
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X 481887 TX
Radiology Practitioner Assistant 243U00000X 481887 TX Primary

Addresses

Primary practice location

1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716

Mailing address

1820 Preston Park Blvd Ste 2400
Plano, TX 75093-3716
Phone (972) 942-8899

Other identifiers 2

IdentifierTypeStateIssuer
481887OtherTXARRT
MRA02000020OtherTXTMB

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RadiCo Direct Texas Radiology Associates LLP

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

LicenseStateTypeSpecialty
481887TXMDComputed Tomography Radiologic Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1043856966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933716",
            "telephone_number": "972-942-8899",
            "fax_number": "972-540-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933716",
            "telephone_number": "972-867-7862",
            "fax_number": "972-612-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SUZZETTE",
        "middle_name": "RENEE",
        "credential": "RRA, RT(R)(CT)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "TX",
            "license": "481887",
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "TX",
            "license": "481887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARRT",
            "identifier": "481887",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "MRA02000020",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RadiCo",
            "affiliation": "Y",
            "endpointDescription": "App used to communicate between doctors",
            "affiliationName": "Texas Radiology Associates LLP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "HIE and direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information exchange",
            "address_1": "1820 Preston Park Blvd Ste 2400",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750933716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.