Active NPI
Spencer Nicholaus Lowe, DNP, FNP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10875894-4405
- Practice address
- 270 S Main St Ste 104
Bountiful, UT 84010-6249 - Phone
- (801) 683-9340
- NPI assigned
- Aug 22, 2018
- Last updated
- Nov 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10875894-4405 | UT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10875894-4405 | UT | Primary |
Addresses
Primary practice location
270 S Main St Ste 104
Bountiful, UT 84010-6249
Mailing address
576 Churchill Dr
Centerville, UT 84014-2614
Phone (801) 867-5693
Other practice location 1
576 Churchill Dr
Centerville, UT 84014-2614
Phone (801) 867-5693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Utah School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1290 S 500
Suite 300
Woods Cross, UT 84010-8104
Phone (801) 867-5693
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10875894-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Behavioral Health & Wellness PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Feller Behavioral Health Services | Current | Accepting new patients | |
| Mountain Mental Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
270 S Main St
Ste 104
Bountiful, UT 84010
Phone (801) 683-9340
1401 N 1075 W
Ste 240
Farmington, UT 84025
Phone (801) 613-8178
4516 S 700 E
Ste 370
Salt Lake City, UT 84107
Phone (385) 449-9990
1290 S 500 W
Ste 300
Woods Cross, UT 84010
Phone (435) 757-9245
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Centerville, UT
- NPI 1124839808
-
- Clinical Social Worker
- Bountiful, UT
- NPI 1295177038
-
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
- NPI 1588378442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1427539014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 CHURCHILL DR",
"city": "CENTERVILLE",
"state": "UT",
"postal_code": "840142614",
"telephone_number": "801-867-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 S MAIN ST STE 104",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106249",
"telephone_number": "801-683-9340"
}
],
"practiceLocations": [
{
"address_1": "576 Churchill Dr",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "UT",
"postal_code": "840142614",
"country_code": "US",
"telephone_number": "801-867-5693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOWE",
"first_name": "SPENCER",
"middle_name": "NICHOLAUS",
"credential": "DNP, FNP-C, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-22",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "10875894-4405",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "10875894-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.