Individual provider Active NPI

Brenda Lee Spach, FNP

  • Family Nurse Practitioner
  • Carrboro, NC
National Provider Identifier
1881678803
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0050-01741 Issued in NC
Practice address
301 Lloyd Street
Piedmont Health Services, Inc.
Carrboro, NC 27510-1821
Phone
(919) 942-8741
NPI assigned
Dec 2, 2005
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN909 SC
Family Nurse Practitioner 363LF0000X 0050-01741 NC Primary

Addresses

Primary practice location

301 Lloyd Street
Piedmont Health Services, Inc.
Carrboro, NC 27510-1821

Mailing address

425 May Farm Rd
Pittsboro, NC 27312-5749
Phone (919) 533-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20071119000578 NC Practitioner - Nurse Practitioner 5294823605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0050-01741NCMDFamily Nurse Practitioner
APN909SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. Current Accepting new patients
Piedmont Health Services, Inc. CurrentSince Oct 15, 2011 Accepting new patients
Piedmont Health Services, Inc. CurrentSince Oct 15, 2011 Accepting new patients

Locations

301 Lloyd St
Carrboro, NC 27510
Phone (919) 933-9087

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1881678803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MAY FARM RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125749",
            "telephone_number": "919-533-6020",
            "fax_number": "919-533-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LLOYD STREET",
            "address_2": "PIEDMONT HEALTH SERVICES, INC.",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101821",
            "telephone_number": "919-942-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACH",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN909",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050-01741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.