Active NPI
Spencer Wellness Centre LLC
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1417553157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SPENCER WELLNESS CENTRE LLC
- Practice address
- 7202 E 71St St
Indianapolis, IN 46256-1938 - Phone
- (317) 588-1000
- Fax
- (317) 588-3003
- NPI assigned
- Dec 8, 2020
- Organization subpart
- Yes
- Parent organization
- SPENCER WELLNESS CENTRE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Jane Spencer
- Title
- President/Owner
- Phone
- (317) 588-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
7202 E 71St St
Indianapolis, IN 46256-1938
Mailing address
7202 E 71St St
Indianapolis, IN 46256-1938
Phone (317) 588-1000
National Provider Directory
National Provider Directory- Part of
- Complementary Family Medi
Locations
7202 E 71st St
Indianapolis, IN 46256
Phone (317) 588-1000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Brownsburg, IN
- NPI 1053339739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608508800000",
"number": "1417553157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7202 E 71ST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561938",
"telephone_number": "317-588-1000",
"fax_number": "317-588-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7202 E 71ST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561938",
"telephone_number": "317-588-1000",
"fax_number": "317-588-3003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPENCER WELLNESS CENTRE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPENCER WELLNESS CENTRE",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "317-588-1000"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.