Individual provider Active NPI

Spencer Barton

  • Primary Care Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1174162192
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5834623-4405 Issued in UT
Practice address
524 E 10735 S
Sandy, UT 84070-6020
Phone
(801) 809-0880
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 5834623-4405 UT
Adult Health Nurse Practitioner 363LA2200X 5834623-4405 UT
Family Nurse Practitioner 363LF0000X 5834623-4405 UT
Primary Care Nurse Practitioner 363LP2300X 5834623-4405 UT Primary

Addresses

Primary practice location

524 E 10735 S
Sandy, UT 84070-6020

Mailing address

524 E 10735 S
Sandy, UT 84070-6020
Phone (801) 809-0880

Other identifiers 1

IdentifierTypeStateIssuer
5834623-4405OtherUTNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604002775 UT Practitioner - Nurse Practitioner 9537568910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5834623-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Medical Care LLC Preventive Medicine/Occupational Environmental Medicine CurrentSince Jun 29, 2021 Accepting new patients
Barton P.L.L.C. Primary Care Current Accepting new patients

Locations

1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344

Interoperability endpoints

  • Direct secure messaging: spencer.barton@396940361596932.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1174162192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E 10735 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706020",
            "telephone_number": "801-809-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E 10735 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706020",
            "telephone_number": "801-809-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "SPENCER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "UT",
            "license": "5834623-4405",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "5834623-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5834623-4405",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "5834623-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "5834623-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.