Individual provider Active NPI

Carolyn Elaine Lewis-Spruill, MSN,APN,C

  • Adult Health Nurse Practitioner
  • Trenton, NJ
National Provider Identifier
1346444239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN06070400 Issued in NJ
Practice address
218 N Broad St
Trenton, NJ 08608-1306
Phone
(609) 989-3332
Fax
(609) 989-4245
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN06070400 NJ Primary

Addresses

Primary practice location

218 N Broad St
Trenton, NJ 08608-1306

Mailing address

14 Columbia Ave
Trenton, NJ 08618-5815
Phone (609) 392-7789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150108000931 NJ Practitioner - Nurse Practitioner 6507919412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NN06070400NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group CurrentSince Sep 13, 2016 Accepting new patients

Locations

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

Organizations & group practices 1

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346444239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COLUMBIA AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185815",
            "telephone_number": "609-392-7789",
            "fax_number": "609-989-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086081306",
            "telephone_number": "609-989-3332",
            "fax_number": "609-989-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-SPRUILL",
        "first_name": "CAROLYN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MSN,APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN06070400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.