Organization Active NPI

Inspirit Health PC

  • General Practice Physician
  • Peoria, IL
National Provider Identifier
1689079238
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036-079920 Issued in IL
Legal business name
INSPIRIT HEALTH PC
Practice address
6811 N Knoxville Ave
Ste a
Peoria, IL 61614-2861
Phone
(309) 740-3744
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Dr. Glen N Feather, D.O.
Title
President
Phone
(309) 740-3744

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038-007890 IL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 036-079920 IL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 036-114669 IL

Addresses

Primary practice location

6811 N Knoxville Ave
Ste a
Peoria, IL 61614-2861

Mailing address

6811 N Knoxville Ave
Ste a
Peoria, IL 61614-2861
Phone (309) 740-3744

Other names 1

  • LifePlus MD Doing business as

National Provider Directory

National Provider Directory

Locations

6811 N Knoxville Ave
Ste A
Peoria, IL 61614
Phone (309) 692-5337

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1689079238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 N KNOXVILLE AVE",
            "address_2": "STE A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142861",
            "telephone_number": "309-740-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 N KNOXVILLE AVE",
            "address_2": "STE A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142861",
            "telephone_number": "309-740-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRIT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "FEATHER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-740-3744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007890",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-079920",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-114669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifePlus MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.