Organization Active NPI

Crown Clinics LLC

  • Family Nurse Practitioner
  • Spencer, IA
National Provider Identifier
1336554393
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A053063 Issued in IA
Legal business name
CROWN CLINICS LLC
Practice address
337 11TH St SW
Spencer, IA 51301-5801
Phone
(712) 580-4570
Fax
(712) 580-4573
NPI assigned
Jun 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Sue A Brugman, ARNP
Title
Owner
Phone
(712) 580-4570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X A053063 IA Primary

Addresses

Primary practice location

337 11TH St SW
Spencer, IA 51301-5801

Mailing address

337 11TH St SW
Spencer, IA 51301-5801
Phone (712) 580-4570

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2081919Crown Clinics, LLC337 11TH Street SW, Spencer, IA 51301Provider-performed microscopyAug 3, 2026

National Provider Directory

National Provider Directory

Locations

3303 Bergquist Ave
Spirit Lake, IA 51360
Phone (712) 336-4572

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1336554393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 11TH ST SW",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015801",
            "telephone_number": "712-580-4570",
            "fax_number": "712-580-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 11TH ST SW",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015801",
            "telephone_number": "712-580-4570",
            "fax_number": "712-580-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "BRUGMAN",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-580-4570",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A053063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.