Spruce Health

Spruce Health is a HIPAA-compliant healthcare communication platform that gives modern clinics secure messaging, voice, video, team chat, e-fax, secure payments, and phone lines in one system. The Spruce Public API is a RESTful, Bearer-token-authenticated interface (base https://api.sprucehealth.com/v1) that lets an organization manage Contacts, Conversations, conversation items and Messages, internal endpoints and phone lines, and register Webhook endpoints for real-time events. API access is gated - it is part of the Communicator plan and organizations must contact Spruce Support to have API access enabled before generating tokens.

Spruce Health publishes 4 APIs on the APIs.io network, including Contacts API, Conversations API, Messages API, and 1 more. Tagged areas include Healthcare, HIPAA, Communication, Secure Messaging, and Telehealth.

Spruce Health’s developer surface includes authentication, documentation, signup flow, and 7 more developer resources.

🌐 Visit website 📡 Source on GitHub

37.2/100 thin ▬ flat Agent 31/100 agent aware Full breakdown ↓
scored 2026-08-05 · rubric v0.9.1

AccessFreemiumOpenFree trial⚡ Free to try

4 APIs

HealthcareHIPAACommunicationSecure MessagingTelehealthContactsConversationsMessagingWebhooksVoIP

Kin Score

Kin Score How this is scored →
scored 2026-08-05 · rubric v0.9.1

Composite quality — 37.2/100 · thin

Contract Quality 15.1 / 25

Developer Ergonomics 3.9 / 20

Commercial Clarity 10.5 / 20

Operational Transparency 4.1 / 13

Governance 0.0 / 12

Discoverability 7.4 / 10

Agent readiness — 31/100 · agent aware

Machine-Readable Contract 18 / 18

Agentic Access Contract 10 / 10

MCP Server 0 / 12

Machine-Readable Auth 10 / 10

Idempotency 0 / 9

Stable Error Semantics 0 / 8

Request/Response Examples 0 / 7

Rate-Limit Signaling 7 / 7

Typed Event Surface 0 / 6

Agent Skills 0 / 5

Well-Known Catalog 0 / 4

Consent & Bot Identity 0 / 3

A2A Agent Card 0 / 8

Dry-Run / Simulate Mode 0 / 4

Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/spruce-health: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 4

Individual APIs this provider publishes, each with its own machine-readable definition.

Rate Limits 1

Documented rate limits and quota policies.

Spruce Health Rate Limits

4 limits

RATE LIMITS

FinOps 1

Cost, billing, and metering signals for API financial operations.

Get Started 1

Portal, sign-up, and the first successful call

SignUp

SignUp

Documentation 1

Reference material describing how the API behaves

Documentation

Documentation

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess

AgenticAccess

Access & Security 2

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Authentication

Authentication

Operate 1

Status, limits, changes, and where to get help

RateLimits

RateLimits

Commercial 2

Pricing, plans, and the legal terms of use

Plans

Plans

FinOps

FinOps

Company 2

The organization behind the API

Website

Website

LinkedIn

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 gives modern clinics secure messaging,
  voice, video, team chat, e-fax, secure payments, and phone lines in one system. The Spruce Public API is a RESTful, Bearer-token-authenticated
  interface (base https://api.sprucehealth.com/v1) that lets an organization manage Contacts, Conversations, conversation
  items and Messages, internal endpoints and phone lines, and register Webhook endpoints for real-time events. API access
  is gated - it is part of the Communicator plan and organizations must contact Spruce Support to have API access enabled
  before generating tokens.
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
- Communication
- Secure Messaging
- Telehealth
- Contacts
- Conversations
- Messaging
- Webhooks
- VoIP
created: '2026-07-10'
modified: '2026-07-10'
specificationVersion: '0.19'
apis:
- aid: spruce-health:spruce-health-contacts-api
  name: Spruce Health Contacts API
  description: Contacts (patients and other parties) in a Spruce organization.
  humanURL: https://developer.sprucehealth.com/reference/listcontacts
  baseURL: https://api.sprucehealth.com/v1
  tags:
  - Contacts
  properties:
  - type: OpenAPI
    url: openapi/spruce-health-contacts-api-openapi.yml
  - type: Documentation
    url: https://developer.sprucehealth.com/docs/overview
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listcontacts
  - type: PostmanCollection
    url: collections/spruce-health.postman_collection.json
  - type: OpenCollection
    url: collections/spruce-health.opencollection.json
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listconversations
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/postconversationmessage
  - type: Documentation
    url: https://developer.sprucehealth.com/docs/webhooks-overview
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listwebhookendpoints
- aid: spruce-health:spruce-health-conversations-api
  name: Spruce Health Conversations API
  description: Conversations (message threads) in a Spruce organization.
  humanURL: https://developer.sprucehealth.com/reference/listcontacts
  baseURL: https://api.sprucehealth.com/v1
  tags:
  - Conversations
  properties:
  - type: OpenAPI
    url: openapi/spruce-health-conversations-api-openapi.yml
  - type: Documentation
    url: https://developer.sprucehealth.com/docs/overview
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listcontacts
  - type: PostmanCollection
    url: collections/spruce-health.postman_collection.json
  - type: OpenCollection
    url: collections/spruce-health.opencollection.json
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listconversations
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/postconversationmessage
  - type: Documentation
    url: https://developer.sprucehealth.com/docs/webhooks-overview
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listwebhookendpoints
- aid: spruce-health:spruce-health-messages-api
  name: Spruce Health Messages API
  description: Conversation items, messages, media, endpoints, and scheduled messages.
  humanURL: https://developer.sprucehealth.com/reference/listcontacts
  baseURL: https://api.sprucehealth.com/v1
  tags:
  - Messages
  properties:
  - type: OpenAPI
    url: openapi/spruce-health-messages-api-openapi.yml
  - type: Documentation
    url: https://developer.sprucehealth.com/docs/overview
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listcontacts
  - type: PostmanCollection
    url: collections/spruce-health.postman_collection.json
  - type: OpenCollection
    url: collections/spruce-health.opencollection.json
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listconversations
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/postconversationmessage
  - type: Documentation
    url: https://developer.sprucehealth.com/docs/webhooks-overview
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listwebhookendpoints
- aid: spruce-health:spruce-health-webhooks-api
  name: Spruce Health Webhooks API
  description: Webhook endpoints for real-time contact / conversation events.
  humanURL: https://developer.sprucehealth.com/reference/listcontacts
  baseURL: https://api.sprucehealth.com/v1
  tags:
  - Webhooks
  properties:
  - type: OpenAPI
    url: openapi/spruce-health-webhooks-api-openapi.yml
  - type: Documentation
    url: https://developer.sprucehealth.com/docs/overview
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listcontacts
  - type: PostmanCollection
    url: collections/spruce-health.postman_collection.json
  - type: OpenCollection
    url: collections/spruce-health.opencollection.json
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listconversations
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/postconversationmessage
  - type: Documentation
    url: https://developer.sprucehealth.com/docs/webhooks-overview
  - type: APIReference
    url: https://developer.sprucehealth.com/reference/listwebhookendpoints
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://sprucehealth.com/plans
- 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
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com

Spruce Health

Kin Score

APIs 4

Spruce Health Contacts API

Spruce Health Conversations API

Spruce Health Messages API

Spruce Health Webhooks API

Open Collections 1

Spruce Public API

Pricing Plans 1

Spruce Health Plans Pricing

Rate Limits 1

Spruce Health Rate Limits

FinOps 1

Spruce Health Finops

Security Posture 2

Spruce Health Authentication

Spruce Health Domain Security

Agentic Access 1

Spruce Health Agentic Access

Resources