Spencer Douglas Beaudette, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Helix Building 5050
30 North Mario Capecchi Drive
Salt Lake City, UT 84112

Phone

(801) 581-6393

Fax

(801) 581-4367

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1346180346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HELIX BUILDING 5050",
            "address_2": "30 NORTH MARIO CAPECCHI DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84112",
            "telephone_number": "801-581-6393",
            "fax_number": "801-581-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HELIX BUILDING 5050",
            "address_2": "30 NORTH MARIO CAPECCHI DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84112",
            "telephone_number": "801-581-6393",
            "fax_number": "801-581-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDETTE",
        "first_name": "SPENCER",
        "middle_name": "DOUGLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bearnson, M.D.
• Miriam Beattie, APRN
• Presten Beatty, DNP
• Stephen L Beaty, D.O.
• Bruce W Beauchamp, DO
• Sara Beaudry, MSS, ATC, LAT
• Calvin M Beaugez Jr., D.C.
• Allison Marie Lavinia Beaulieu, M.D.
• Beaver Valley Hospital (Avalon West Health & Rehabilitation)
• Beaver Valley Hospital (Millcreek Rehabilitation and Nursing)

• Student in an Organized Health Care Education/Training Program in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.