Active NPI
Aric Braden Spencer, LMP
- Health Educator
- Port Townsend, WA
National Provider Identifier
1548548415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- MA00013261
- Practice address
- 926 18TH St
Port Townsend, WA 98368-6005 - Phone
- (360) 385-5822
- NPI assigned
- Jul 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | MA00013261 | WA | Primary |
Addresses
Primary practice location
926 18TH St
Port Townsend, WA 98368-6005
Mailing address
PO Box 208
Port Townsend, WA 98368-0208
Phone (360) 385-5822
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00013261 | WA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1548548415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983680208",
"telephone_number": "360-385-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 18TH ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686005",
"telephone_number": "360-385-5822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ARIC",
"middle_name": "BRADEN",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-26",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "WA",
"license": "MA00013261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.