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Spruce Health
Spruce Health is a HIPAA-compliant healthcare communication platform that unifies phone, SMS, secure messaging, video, e-fax, team chat, mobile payments and VoIP phone lines into one system for medical practices, with AI-enabled voicemail transcription, summarization and call routing. Every eligible organization receives a signed HIPAA Business Associate Agreement as part of the terms of service, and since July 2026 that BAA also carries formal Qualified Service Organization support for 42 CFR Part 2. Spruce is SOC 2 Type II audited annually. The Spruce Public API is a RESTful, Bearer-token interface at https://api.sprucehealth.com/v1 spanning 47 operations across contacts, conversations, conversation items, internal endpoints and phone lines, media, organization members and teams, saved and scheduled messages, AI transcriptions, and webhook endpoint management. It ships a real OpenAPI 3.0 definition, a first-class s-idempotency-key on every mutating request, four rate-limit response headers across a 60-second and a 24-hour window, and 15 HMAC-signed webhook event types. API access is gated twice: it is part of the Communicator plan, and an organization must additionally contact Spruce Support to have API access enabled before an administrator can generate a token.
Spruce Health publishes 15 APIs on the APIs.io network, including Contact Fields API, Contact Tags API, Contacts API, and 12 more. Tagged areas include Healthcare, HIPAA, Communications, Secure Messaging, and Telehealth.
The Spruce Health catalog on APIs.io includes 1 event-driven AsyncAPI specification.
Spruce Health’s developer surface includes authentication, documentation, signup flow, changelog, API reference, getting-started guide, support, and 29 more developer resources.
15 APIs
1 MCP Servers
On this page
Kin Score
APIs 15
Open Collections 16
MCP Servers 1
Pricing Plans 1
Rate Limits 1
FinOps 1
Event Specs 1
Security Posture 2
Agentic Access 1
Resources 36
apis.yml
74 Operational Transparency
Composite quality — 64.8/100 · strong
Contract Quality
14.2 / 21
Developer Ergonomics
7.4 / 17
Operational Transparency
8.1 / 11
Contract Governance
1.7 / 10
Regulatory Posture
6.8 / 15
Agent readiness — 40/100 · agent native
Machine-Readable Contract
18 / 18
Agentic Access Contract
10 / 10
Documented Reversibility
0 / 6
MCP Server
12 / 12
Machine-Readable Auth
10 / 10
Idempotency
9 / 9
Stable Error Semantics
8 / 8
Request/Response Examples
7 / 7
Rate-Limit Signaling
7 / 7
Typed Event Surface
6 / 6
Agent Skills
5 / 5
Well-Known Catalog
0 / 4
Consent & Bot Identity
0 / 3
A2A Agent Card
0 / 8
Dry-Run / Simulate Mode
0 / 4
Delegated User Identity
0 / 6
Protected Resource Metadata
0 / 5
Registration Without a Human
0 / 6
Agentic Commerce Surface
0 / 5
Individual APIs this provider publishes, each with its own machine-readable definition.
Scroll for all 15
Open, tool-agnostic API collections (OpenAPI-derived and Bruno).
Scroll for all 16
Model Context Protocol servers that expose these APIs to AI agents.
Published pricing tiers and plan structures.
Documented rate limits and quota policies.
Cost, billing, and metering signals for API financial operations.
AsyncAPI definitions for this provider's event-driven and streaming APIs.
Authentication, domain security, vulnerability disclosure, and trust-center signals.
Recommended x-agentic-access execution contracts for AI agents.
Get Started 3
Portal, sign-up, and the first successful call
Documentation 2
Reference material describing how the API behaves
Agent Surfaces 4
MCP servers, agent skills, and machine-readable catalogs
Design & Contract 7
Pagination, idempotency, versioning, errors, and events
Scroll for all 7
Build 3
SDKs, sample code, and the tooling you integrate with
Access & Security 3
Authentication, authorization, and security posture
Operate 5
Status, limits, changes, and where to get help
Commercial 5
Pricing, plans, and the legal terms of use
Company 4
The organization behind the API
Source (apis.yml)
aid: spruce-health
url: https://raw.githubusercontent.com/api-evangelist/spruce-health/refs/heads/main/apis.yml
name: Spruce Health
kind: company
description: 'Spruce Health is a HIPAA-compliant healthcare communication platform that unifies phone, SMS, secure messaging,
video, e-fax, team chat, mobile payments and VoIP phone lines into one system for medical practices, with AI-enabled voicemail
transcription, summarization and call routing. Every eligible organization receives a signed HIPAA Business Associate Agreement
as part of the terms of service, and since July 2026 that BAA also carries formal Qualified Service Organization support
for 42 CFR Part 2. Spruce is SOC 2 Type II audited annually. The Spruce Public API is a RESTful, Bearer-token interface
at https://api.sprucehealth.com/v1 spanning 47 operations across contacts, conversations, conversation items, internal endpoints
and phone lines, media, organization members and teams, saved and scheduled messages, AI transcriptions, and webhook endpoint
management. It ships a real OpenAPI 3.0 definition, a first-class s-idempotency-key on every mutating request, four rate-limit
response headers across a 60-second and a 24-hour window, and 15 HMAC-signed webhook event types. API access is gated twice:
it is part of the Communicator plan, and an organization must additionally contact Spruce Support to have API access enabled
before an administrator can generate a token.'
accessModel:
pricing: freemium
onboarding: open
trial: true
try_now: true
public: true
label: Freemium (free trial) · Open access
confidence: high
source:
- plans
- authentication
generated: '2026-07-22'
method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/spruce-health.png
tags:
- Healthcare
- HIPAA
- Communications
- Secure Messaging
- Telehealth
- Patient Engagement
- Contacts
- Conversations
- Messaging
- SMS
- Voice
- VoIP
- Fax
- Video
- Webhook
- Scheduling
- Transcription
- EHR Integration
- Compliance
tags_raw:
- Healthcare
- HIPAA
- Health Care
- Communication
- Secure Messaging
- Telehealth
- Patient Engagement
- Contacts
- Conversations
- Messaging
- SMS
- Voice
- VoIP
- Fax
- Video
- Webhooks
- Scheduling
- Transcription
- EHR Integration
- Compliance
created: '2026-07-10'
modified: '2026-08-15'
specificationVersion: '0.23'
apis:
- aid: spruce-health:spruce-health-contact-fields
name: Spruce Health Contact Fields API
description: Organization contact fields — the custom fields that appear on every contact in the organization.
humanURL: https://developer.sprucehealth.com/reference/contactfields
baseURL: https://api.sprucehealth.com/v1
tags:
- Contact Fields
properties:
- type: OpenAPI
url: openapi/spruce-health-contact-fields-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-contact-fields.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-contact-fields.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/contactfields
- type: Overlay
url: overlays/spruce-health-contact-fields-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 2
- aid: spruce-health:spruce-health-contact-tags
name: Spruce Health Contact Tags API
description: Contact tags — the tags available to an organization that can be applied to contacts.
humanURL: https://developer.sprucehealth.com/reference/contacttags
baseURL: https://api.sprucehealth.com/v1
tags:
- Contact Tags
properties:
- type: OpenAPI
url: openapi/spruce-health-contact-tags-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-contact-tags.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-contact-tags.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/contacttags
- type: Overlay
url: overlays/spruce-health-contact-tags-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 2
- aid: spruce-health:spruce-health-contacts
name: Spruce Health Contacts API
description: 'Contacts — the patients and other parties in a Spruce organization: list, search, create, retrieve, update
and delete contacts, list a contact''s conversations, manage integration links to external EHR/PM systems, and send a
patient a Spruce invite.'
humanURL: https://developer.sprucehealth.com/reference/listcontacts
baseURL: https://api.sprucehealth.com/v1
tags:
- Contacts
properties:
- type: OpenAPI
url: openapi/spruce-health-contacts-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-contacts.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-contacts.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/listcontacts
- type: Overlay
url: overlays/spruce-health-contacts-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 11
- aid: spruce-health:spruce-health-conversation-item
name: Spruce Health Conversation Item API
description: 'Conversation items — the individual messages, calls, faxes and events inside a conversation: retrieve one
by id, or soft-delete it asynchronously.'
humanURL: https://developer.sprucehealth.com/reference/conversationitem
baseURL: https://api.sprucehealth.com/v1
tags:
- Conversation Item
properties:
- type: OpenAPI
url: openapi/spruce-health-conversation-item-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-conversation-item.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-conversation-item.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/conversationitem
- type: Overlay
url: overlays/spruce-health-conversation-item-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 2
- aid: spruce-health:spruce-health-conversation-tags
name: Spruce Health Conversation Tags API
description: Conversation tags — the tags available to an organization that can be applied to conversations.
humanURL: https://developer.sprucehealth.com/reference/conversationtags
baseURL: https://api.sprucehealth.com/v1
tags:
- Conversation Tags
properties:
- type: OpenAPI
url: openapi/spruce-health-conversation-tags-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-conversation-tags.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-conversation-tags.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/conversationtags
- type: Overlay
url: overlays/spruce-health-conversation-tags-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 2
- aid: spruce-health:spruce-health-conversations
name: Spruce Health Conversations API
description: 'Conversations — the message threads in an organization: list and filter conversations with cursor pagination
and ordering by created or last_message, create secure and note conversations, retrieve and update a conversation, list
its items, and post a message into it.'
humanURL: https://developer.sprucehealth.com/reference/listconversations
baseURL: https://api.sprucehealth.com/v1
tags:
- Conversations
properties:
- type: OpenAPI
url: openapi/spruce-health-conversations-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-conversations.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-conversations.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/listconversations
- type: Overlay
url: overlays/spruce-health-conversations-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 6
- aid: spruce-health:spruce-health-internal-endpoints
name: Spruce Health Internal Endpoints API
description: 'Internal endpoints — the Spruce phone numbers, fax numbers, email addresses and Spruce Links an organization
communicates from: list them, send a secure/SMS/email/fax message from one, and create an outbound proxy call.'
humanURL: https://developer.sprucehealth.com/reference/internalendpoints
baseURL: https://api.sprucehealth.com/v1
tags:
- Internal Endpoints
properties:
- type: OpenAPI
url: openapi/spruce-health-internal-endpoints-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-internal-endpoints.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-internal-endpoints.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/internalendpoints
- type: Overlay
url: overlays/spruce-health-internal-endpoints-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 3
- aid: spruce-health:spruce-health-media
name: Spruce Health Media API
description: Media — upload images, video and files to Spruce and receive a media ID that can be attached to messages.
humanURL: https://developer.sprucehealth.com/reference/uploadmedia
baseURL: https://api.sprucehealth.com/v1
tags:
- Media
properties:
- type: OpenAPI
url: openapi/spruce-health-media-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-media.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-media.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/uploadmedia
- type: Overlay
url: overlays/spruce-health-media-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 1
- aid: spruce-health:spruce-health-organization
name: Spruce Health Organization API
description: Organization — read the organization record and its members (teammates, teams and the organization entity itself).
humanURL: https://developer.sprucehealth.com/reference/organization-1
baseURL: https://api.sprucehealth.com/v1
tags:
- Organization
properties:
- type: OpenAPI
url: openapi/spruce-health-organization-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-organization.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-organization.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/organization-1
- type: Overlay
url: overlays/spruce-health-organization-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 3
- aid: spruce-health:spruce-health-phone-lines
name: Spruce Health Phone Lines API
description: Phone lines — list the organization's phone lines and retrieve one by id.
humanURL: https://developer.sprucehealth.com/reference/phonelines
baseURL: https://api.sprucehealth.com/v1
tags:
- Phone Lines
properties:
- type: OpenAPI
url: openapi/spruce-health-phone-lines-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-phone-lines.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-phone-lines.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/phonelines
- type: Overlay
url: overlays/spruce-health-phone-lines-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 2
- aid: spruce-health:spruce-health-saved-messages
name: Spruce Health Saved Messages API
description: Saved messages — the reusable private and organization-wide message templates available to the organization.
humanURL: https://developer.sprucehealth.com/reference/listsavedmessages
baseURL: https://api.sprucehealth.com/v1
tags:
- Saved Messages
properties:
- type: OpenAPI
url: openapi/spruce-health-saved-messages-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-saved-messages.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-saved-messages.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/listsavedmessages
- type: Overlay
url: overlays/spruce-health-saved-messages-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 1
- aid: spruce-health:spruce-health-scheduled-messages
name: Spruce Health Scheduled Messages API
description: 'Scheduled messages — messages queued to send at a future time, organization-wide or within a single conversation:
list, schedule and delete.'
humanURL: https://developer.sprucehealth.com/reference/listscheduledmessages
baseURL: https://api.sprucehealth.com/v1
tags:
- Scheduled Messages
properties:
- type: OpenAPI
url: openapi/spruce-health-scheduled-messages-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-scheduled-messages.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-scheduled-messages.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/listscheduledmessages
- type: Overlay
url: overlays/spruce-health-scheduled-messages-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 4
- aid: spruce-health:spruce-health-teams
name: Spruce Health Teams API
description: Teams — list the members of a team by team id.
humanURL: https://developer.sprucehealth.com/reference/teammembers
baseURL: https://api.sprucehealth.com/v1
tags:
- Team
tags_raw:
- Teams
properties:
- type: OpenAPI
url: openapi/spruce-health-teams-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-teams.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-teams.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/teammembers
- type: Overlay
url: overlays/spruce-health-teams-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 1
- aid: spruce-health:spruce-health-transcription
name: Spruce Health Transcription API
description: Transcriptions — retrieve the full transcription text and AI summarization for a transcription id found on
voicemails, call recordings and audio messages.
humanURL: https://developer.sprucehealth.com/reference/transcription
baseURL: https://api.sprucehealth.com/v1
tags:
- Transcription
properties:
- type: OpenAPI
url: openapi/spruce-health-transcription-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-transcription.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-transcription.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/transcription
- type: Overlay
url: overlays/spruce-health-transcription-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 1
- aid: spruce-health:spruce-health-webhooks
name: Spruce Health Webhooks API
description: Webhooks — register and manage the HTTPS destination endpoints that receive real-time contact, conversation,
conversationItem and scheduledMessage events; create (returns the signing secret), list, retrieve, list delivered events,
pause/resume and delete.
humanURL: https://developer.sprucehealth.com/reference/listwebhookendpoints
baseURL: https://api.sprucehealth.com/v1
tags:
- Webhook
tags_raw:
- Webhooks
properties:
- type: OpenAPI
url: openapi/spruce-health-webhooks-openapi.yml
- type: PostmanCollection
url: collections/spruce-health-webhooks.postman_collection.json
- type: OpenCollection
url: collections/spruce-health-webhooks.opencollection.json
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: APIReference
url: https://developer.sprucehealth.com/reference/listwebhookendpoints
- type: Overlay
url: overlays/spruce-health-webhooks-overlay.yaml
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
x-operations: 6
common:
- type: AgenticAccess
url: agentic-access/spruce-health-agentic-access.yml
- type: DomainSecurity
url: security/spruce-health-domain-security.yml
- type: Authentication
url: authentication/spruce-health-authentication.yml
- type: Website
url: https://sprucehealth.com
- type: LinkedIn
url: https://www.linkedin.com/company/spruce-health
- type: Documentation
url: https://developer.sprucehealth.com/docs/overview
- type: SignUp
url: https://app.sprucehealth.com/signup
- type: Plans
url: plans/spruce-health-plans-pricing.yml
- type: RateLimits
url: rate-limits/spruce-health-rate-limits.yml
- type: FinOps
url: finops/spruce-health-finops.yml
- type: Conventions
url: conventions/spruce-health-conventions.yml
- type: Idempotency
url: conventions/spruce-health-conventions.yml
- type: ErrorCatalog
url: errors/spruce-health-problem-types.yml
- type: Lifecycle
url: lifecycle/spruce-health-lifecycle.yml
- type: StatusPage
url: https://status.sprucehealth.com
- type: ChangeLog
url: changelog/spruce-health-changelog.yml
- type: Webhooks
url: asyncapi/spruce-health-webhooks.yml
- type: DataModel
url: data-model/spruce-health-data-model.yml
- type: Conformance
url: conformance/spruce-health-conformance.yml
- type: Compliance
url: conformance/spruce-health-conformance.yml
- type: Packages
url: packages/spruce-health-packages.yml
- type: MCPServer
url: mcp/spruce-health-mcp.yml
- type: ToolCrosswalk
url: mcp/spruce-health-tool-crosswalk.yml
- type: LLMsTxt
url: llms/spruce-health-llms.txt
- type: AgentSkill
url: skills/_index.yml
- type: DeveloperPortal
url: https://developer.sprucehealth.com
- type: APIReference
url: https://developer.sprucehealth.com/reference/listcontacts
- type: GettingStarted
url: https://developer.sprucehealth.com/docs/overview
- type: Support
url: https://help.sprucehealth.com/hc/en-us/articles/23003282513435-Spruce-Support
- type: Blog
url: https://sprucehealth.com/blog
- type: GitHubOrganization
url: https://github.com/sprucehealth
- type: Pricing
url: https://sprucehealth.com/plans
- type: TermsOfService
url: https://sprucehealth.com/terms-organizations/
- type: PrivacyPolicy
url: https://sprucehealth.com/privacy
- type: ChangeLog
url: https://sprucehealth.com/whats-new
- type: BlogRSS
url: https://sprucehealth.com/whats-new/rss.xml
maintainers:
- FN: Kin Lane
email: kin@apievangelist.com
x-enrichment:
date: '2026-08-15'
status: enriched
artifacts_added: 29
pass: local-v1
x-coverage:
state: covered
reason: machine-readable-contract-published
detail: Spruce Health publishes a real 47-operation OpenAPI 3.0 behind its ReadMe developer portal (oasPublicUrl @spruce/v1.0#13needamst2v4m6);
it was harvested verbatim, replacing the modeled spec a prior round had authored, along with two llms.txt files, a dated
changelog RSS feed, an Atlassian Statuspage that tracks the API as its own component, and an authenticated MCP endpoint.
evidence:
- url: https://dash.readme.com/api/v1/api-registry/13needamst2v4m6
status: 200
- url: https://developer.sprucehealth.com/llms.txt
status: 200
- url: https://developer.sprucehealth.com/mcp
status: 401
- url: https://status.sprucehealth.com/api/v2/summary.json
status: 200
- url: https://sprucehealth.com/whats-new/rss.xml
status: 200
- url: https://sprucehealth.com/.well-known/security.txt
status: 404
checked: '2026-08-15'
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