Active NPI
Spencer Michael Thomas
- Registered Nurse
- Tavares, FL
National Provider Identifier
1295601227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9696220
- Practice address
- 1000 Waterman Way
Tavares, FL 32778-5266 - Phone
- (352) 253-3333
- NPI assigned
- Oct 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 580278 | FL | |
| Registered Nurse | 163W00000X | 9696220 | FL | Primary |
Addresses
Primary practice location
1000 Waterman Way
Tavares, FL 32778-5266
Mailing address
PO Box 398
Tangerine, FL 32777-0398
Other practice location 1
4601 N John Young Pkwy
Orlando, FL 32804-1612
Phone (407) 822-3700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 580278 | FL | MD | Basic Emergency Medical Technician |
| 9696220 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1295601227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "TANGERINE",
"state": "FL",
"postal_code": "327770398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WATERMAN WAY",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785266",
"telephone_number": "352-253-3333"
}
],
"practiceLocations": [
{
"address_1": "4601 N John Young Pkwy",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328041612",
"country_code": "US",
"telephone_number": "407-822-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "SPENCER",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "FL",
"license": "580278",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9696220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.