Individual provider Active NPI

Regan Spanbauer

  • Social Worker
  • Ammon, ID
National Provider Identifier
1376474254
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7381316 Issued in ID
Practice address
3345 E Chasewood Dr
Ammon, ID 83406-4007
Phone
(801) 655-5450
NPI assigned
May 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7381316 ID Primary

Addresses

Primary practice location

3345 E Chasewood Dr
Ammon, ID 83406-4007

Mailing address

6149 N Silver Fox Rd Apt 1
Idaho Falls, ID 83401-1048
Phone (208) 936-9226

Other practice location 1

1301 E 17th St
Idaho Falls, ID 83404-6273
Phone (208) 991-4296

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

LicenseStateTypeSpecialty
7381316IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Counseling of Idaho, LLC PastSince Feb 22, 2026 Accepting new patients

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": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1376474254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 N SILVER FOX RD APT 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011048",
            "telephone_number": "208-936-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 E CHASEWOOD DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064007",
            "telephone_number": "801-655-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046273",
            "country_code": "US",
            "telephone_number": "208-991-4296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPANBAUER",
        "first_name": "REGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "7381316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.