Spencer Keith Noyce

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

8298342-4405 Issued in UT

Practice address

620 Medical Dr
Bountiful, UT 84010-5084

Phone

(801) 295-2888

NPI assigned

Feb 11, 2022

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Care - Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Woods Cross, UT
  • NPI 1386224814

  Family

  Medicare reassignment NPD
• Senior Health LLC

  dba Senior Health - Physician Services

  • Geriatric Medicine (Family Medicine) Physician
  • Woods Cross, UT
  • NPI 1134721228
  Medicare reassignment NPD
• Joshua Oaks MD PLLC

  dba Bountiful Internal Medicine

  • Internal Medicine Physician
  • Bountiful, UT
  • NPI 1184125668
  Medicare reassignment
• Mountain Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Bountiful, UT
  • NPI 1952019846
  Medicare reassignment
• Wasatch Pediatrics, Inc

  • Pediatrics Physician
  • West Jordan, UT
  • NPI 1124102595
  NPD (past)

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1740934488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MEDICAL DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105084",
            "telephone_number": "801-295-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MEDICAL DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105084",
            "telephone_number": "801-295-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYCE",
        "first_name": "SPENCER",
        "middle_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-11",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8298342-4405",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "UT",
            "license": "8298342-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Nimer, DO
• Raquel Da Silva Nixon
• Clover Noel
• Janet Louise Norman, R.PH.
• North Canyon Family Medicine and Aesthetics LLC
• Abigail O'Neill
• La Ree Coleen O'Reilly, LCSW
• Oak Ridge Assisted Living of Bountiful
• Joshua Brad Oaks, M.D.
• Lilian Oberg-Wood

• Pediatric Nurse Practitioner in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Pediatric Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.