Active NPI
Grinder E Spencer Jr.
- Health Educator
- Muskegon, MI
National Provider Identifier
1053151282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1115 3Rd St
Muskegon, MI 49441-2170 - Phone
- (231) 722-9622
- NPI assigned
- May 27, 2024
- Last updated
- May 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1115 3Rd St
Muskegon, MI 49441-2170
Mailing address
Q144 Trent CT
New Bern, NC 28562-5639
Phone (252) 259-6838
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | .org | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskegon Young Men's Christian Association | Health Educator | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Educator
- Muskegon, MI
- NPI 1770033292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1053151282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "Q144 TRENT CT",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625639",
"telephone_number": "252-259-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 3RD ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412170",
"telephone_number": "231-722-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "GRINDER",
"middle_name": "E",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": ".org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "url",
"address_1": "1115 3rd St",
"city": "Muskegon",
"state": "MI",
"country_code": "US",
"postal_code": "494412170",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muskegon, MI
- Spectrum Health Primary Care Partners (Corewell Health Medical Group West Rehabilitation)
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
- Joann R Spence, CRNA
- Gary C. Spencer, O.D.
- Lanesha Deshay Spencer, DOULA
- Sarah Lynn Spencer, CPHT
- Daniel F Spitters, PA C
- Josephine E Spitzley, DO
- Alicia Spoelman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.