John Paul Spencer

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

176406-30 Issued in WI

Practice address

N36647 County Rd. QQQ
Whitehall, WI 54773

Phone

(715) 538-4312

Fax

(866) 805-0304

NPI assigned

May 4, 2023

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2023.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1619666740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "PIGEON FALLS",
            "state": "WI",
            "postal_code": "547600284",
            "telephone_number": "715-533-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N36647 COUNTY RD. QQQ",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "54773",
            "telephone_number": "715-538-4312",
            "fax_number": "866-805-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "176406-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Ruder, MFT
• Michael Schwarz, PHARMD
• Mandi J Skorstad, RCT
• Cassondra Marie Solberg
• Spencer Psychology Services, LLC
• Heidi Spittler, RN
• Ashley Stehl, O.D
• Todd D Thill, PT
• Erika Ann Thomas, RD
• Debra Lynn Tidquist, APRN-BC

• All providers in Whitehall, WI
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.