Individual provider Active NPI

Sonya Rene Spencer, FNP

  • Family Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1962101204
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5485482-4405 Issued in UT
Practice address
680 E Main St
Lehi, UT 84043-2241
Phone
(801) 768-1699
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5485482-4405 UT Primary

Addresses

Primary practice location

680 E Main St
Lehi, UT 84043-2241

Mailing address

2169 E Bald Eagle CT
Draper, UT 84020-5714
Phone (804) 687-9575

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230503001407 UT Practitioner - Nurse Practitioner 0547625170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

680 E Main St
Lehi, UT 84043-2241
Phone (801) 768-1699

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - Saratoga Springs Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Premier Family Medical - City Center Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Premier Family Medical Family Medicine Current Accepting new patients

Locations

1112 E 300 N
Ste 302
American Fork, UT 84003
Phone (801) 642-2890

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184

4317 N Pony Express Pkwy
Ste 150
Eagle Mountain, UT 84005
Phone (801) 788-4779

573 W Sunrise Way
Unit 102
Lehi, UT 84048
Phone (801) 642-2990

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1962101204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 E BALD EAGLE CT",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205714",
            "telephone_number": "804-687-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432241",
            "telephone_number": "801-768-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SONYA",
        "middle_name": "RENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5485482-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.