Individual provider Active NPI

Linda Jane Spencer, FNP

  • Family Nurse Practitioner
  • Brownsburg, IN
National Provider Identifier
1053339739
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000076 Issued in IN
Practice address
69 E Garner Rd Ste 300
Brownsburg, IN 46112-7000
Phone
(317) 852-3616
Fax
(317) 852-6969
NPI assigned
Jul 18, 2006
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71000076 IN Primary

Addresses

Primary practice location

69 E Garner Rd Ste 300
Brownsburg, IN 46112-7000

Mailing address

69 E Garner Rd Ste 300
Brownsburg, IN 46112-7000
Phone (317) 852-3616

Other identifiers 1

IdentifierTypeStateIssuer
200249390MedicaidIN

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000076INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Wellness Centre LLC Family Current Accepting new patients
Spencer Wellness Centre LLC Family Current Accepting new patients
Major Hospital Past Accepting new patients
Indianapolis Osteopathic Hospital Inc. Past Accepting new patients
Integrative Health Specialist of Indiana PC PastSince Jan 1, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linda.spencer.2@11145.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1053339739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 E GARNER RD STE 300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127000",
            "telephone_number": "317-852-3616",
            "fax_number": "317-298-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 E GARNER RD STE 300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127000",
            "telephone_number": "317-852-3616",
            "fax_number": "317-852-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LINDA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200249390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.