Four Lights Health Care Consulting LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01040702A Issued in IN

Legal business name

FOUR LIGHTS HEALTH CARE CONSULTING LLC

Practice address

1601 Lafayette Rd Ste 200
Crawfordsville, IN 47933-1032

Phone

(765) 362-8211

Fax

(765) 362-8212

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Brett L Spencer, MDNPI 1093770711

Title

Direct Owner

Phone

(765) 376-6825

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett L Spencer, MD

  • Internal Medicine Physician
  • Crawfordsville, IN
  • NPI 1093770711
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1447515176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LAFAYETTE RD STE 200",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331032",
            "telephone_number": "765-362-8211",
            "fax_number": "765-362-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LAFAYETTE RD STE 200",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331032",
            "telephone_number": "765-362-8211",
            "fax_number": "765-362-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR LIGHTS HEALTH CARE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "765-376-6825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01040702A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Flanagan
• David Simpson Fletcher, D.C.
• Kelly Diane Flick, PT
• Sarah Foncannon, RBT
• Stephanie Elaine Ford, PHYSICAL THERAPIST
• Keri E Francis, MSW, LCSW
• Franciscan Health Crawfordsville
• Franciscan Health Crawfordsville
• Franciscan Health Crawfordsville
• Franciscan Health Crawfordsville

• Internal Medicine Physician in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.