Spencer Convenient Healthcare LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A-083751 Issued in IA

Legal business name

SPENCER CONVENIENT HEALTHCARE LLC

Practice address

116 E. 7TH Street
Suite 2
Spencer, IA 51301

Phone

(712) 580-6592

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Carol Ann Lamoureux-Lewallen, ARNPNPI 1669756474

Title

Family Nurse Practitioner

Phone

(712) 580-6592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23712/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Carol Ann Lamoureux-Lewallen, DNP. ARNP

  • Family Nurse Practitioner
  • Spencer, IA
  • NPI 1669756474
  Medicare reassignment NPD Authorized official
• Amy S. Swartz, CRNA, FNP

  • Certified Registered Nurse Anesthetist
  • Minneapolis, MN
  • NPI 1083677769

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1730437542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 7TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014054",
            "telephone_number": "712-580-6592",
            "fax_number": "833-673-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E. 7TH STREET",
            "address_2": "SUITE 2",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "51301",
            "telephone_number": "712-580-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER CONVENIENT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "LAMOUREUX-LEWALLEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "712-580-6592",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IA",
            "license": "A-083751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sliefert, MS
• Carrie Lynne Sloan, DPT
• Jason William Smith, PSY.D.
• Spencer C.S.D.
• Spencer Chiropractic & Wellness Center PC
• Spencer Imaging Center, LLC
• Spencer Municipal Hospital
• Spencer Municipal Hospital
• Spencer Municipal Hospital
• Spencer Municipal Hospital

• Urgent Care Clinic/Center in Spencer, IA
• Providers in Spencer, IA by specialty
• Urgent Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.