Organization Active NPI

Spencer Wellness Centre LLC

  • Family Medicine Physician
  • Brownsburg, IN
National Provider Identifier
1649361734
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2004071500239 Issued in IN
Legal business name
SPENCER WELLNESS CENTRE LLC
Practice address
69 E Garner Rd Ste 300
Brownsburg, IN 46112-7000
Phone
(317) 852-3616
Fax
(317) 852-6969
NPI assigned
Sep 27, 2006
Last updated
Dec 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Authorized official

Name
Mrs. Linda Spencer, CPNP FNPNPI 1053339739
Title
President
Phone
(317) 852-3616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2004071500239 IN Primary

Addresses

Primary practice location

69 E Garner Rd Ste 300
Brownsburg, IN 46112-7000

Mailing address

69 E Garner Rd Ste 300
Brownsburg, IN 46112-7000
Phone (317) 852-3616

Other identifiers 1

IdentifierTypeStateIssuer
200522750AMedicaidIN

National Provider Directory

National Provider Directory

Locations

69 E Garner Rd
Ste 300
Brownsburg, IN 46112
Phone (317) 550-3999

3850 Shore Dr
Ste 205
Indianapolis, IN 46254
Phone (317) 298-3850

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607212800000",
    "number": "1649361734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 E GARNER RD STE 300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127000",
            "telephone_number": "317-852-3616",
            "fax_number": "317-852-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 E GARNER RD STE 300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127000",
            "telephone_number": "317-852-3616",
            "fax_number": "317-852-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER WELLNESS CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-852-3616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPNP FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "2004071500239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.