Individual provider Active NPI

Spencer Nicholaus Lowe, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1427539014
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10875894-4405 Issued in UT
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307000679 UT Practitioner - Nurse Practitioner 9133468291 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
10875894-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Behavioral Health & Wellness PLLC Psychiatric/Mental Health CurrentSince Apr 22, 2025 Accepting new patients
Feller Behavioral Health Services CurrentSince Feb 22, 2023 Accepting new patients
Mountain Mental Health LLC Psychiatric/Mental Health CurrentSince Apr 28, 2023 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.

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

Verify at the official NPI Registry.